Provider Demographics
NPI:1548430762
Name:CHRISTENSEN, DON R (DMD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:R
Last Name:CHRISTENSEN
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 1:7138 N MILLBROOK AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3366
Mailing Address - Country:US
Mailing Address - Phone:559-431-5551
Mailing Address - Fax:559-431-5677
Practice Address - Street 1:7138 N MILLBROOK AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3366
Practice Address - Country:US
Practice Address - Phone:559-431-5551
Practice Address - Fax:559-431-5677
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD 244391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice