Provider Demographics
NPI:1497990196
Name:CHRISTEN L. KAUFFMAN D.D.S., P.A.
Entity Type:Organization
Organization Name:CHRISTEN L. KAUFFMAN D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-767-7633
Mailing Address - Street 1:1018 AIRPORT RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4621
Mailing Address - Country:US
Mailing Address - Phone:501-767-7633
Mailing Address - Fax:
Practice Address - Street 1:1018 AIRPORT RD
Practice Address - Street 2:SUITE 108
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4621
Practice Address - Country:US
Practice Address - Phone:501-767-7633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty