Provider Demographics
NPI:1427212372
Name:VINSON, CHRISTOPHER CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CHARLES
Last Name:VINSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 E 81ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2292
Mailing Address - Country:US
Mailing Address - Phone:918-492-1917
Mailing Address - Fax:918-492-4538
Practice Address - Street 1:7104 S SHERIDAN RD STE 8
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2765
Practice Address - Country:US
Practice Address - Phone:918-492-3752
Practice Address - Fax:918-492-4538
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6062122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist