Provider Demographics
NPI:1356457428
Name:ANENE, CHRISTOPHER K (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:K
Last Name:ANENE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 WHITEHALL PARK DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3341
Mailing Address - Country:US
Mailing Address - Phone:704-831-6344
Mailing Address - Fax:704-831-6368
Practice Address - Street 1:3607 WHITEHALL PARK DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3341
Practice Address - Country:US
Practice Address - Phone:704-831-6344
Practice Address - Fax:704-831-6368
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900110Medicaid