Provider Demographics
NPI:1598011264
Name:SPILLERS, CHRISTOPHER THOMAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:SPILLERS
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 1:950 S DURANGO DR STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-2494
Mailing Address - Country:US
Mailing Address - Phone:702-834-7755
Mailing Address - Fax:702-834-7757
Practice Address - Street 1:950 S DURANGO DR STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-2494
Practice Address - Country:US
Practice Address - Phone:702-834-7755
Practice Address - Fax:702-834-7757
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8352994-9921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist