Provider Demographics
NPI:1568838167
Name:NARANJO, CHRISTOPHER (DMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:NARANJO
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 1:1301 W 25TH ST STE 402
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-4236
Mailing Address - Country:US
Mailing Address - Phone:512-472-3565
Mailing Address - Fax:512-472-1210
Practice Address - Street 1:1301 W 25TH ST STE 402
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-4236
Practice Address - Country:US
Practice Address - Phone:512-472-3565
Practice Address - Fax:512-472-1210
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX312641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice