Provider Demographics
NPI:1356487037
Name:L CHRISTOPHER DDS PC
Entity Type:Organization
Organization Name:L CHRISTOPHER DDS PC
Other - Org Name:LESLIE CHRISTOPHER DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:CARA
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-584-3176
Mailing Address - Street 1:1638 S CARSON AVE #1112
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-4261
Mailing Address - Country:US
Mailing Address - Phone:918-584-3176
Mailing Address - Fax:
Practice Address - Street 1:1638 S CARSON AVE #1112
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4261
Practice Address - Country:US
Practice Address - Phone:918-584-3176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4799122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty