Provider Demographics
NPI:1598763047
Name:TEMPAS, CHRISTINE SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:SUE
Last Name:TEMPAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 FOND DU LAC AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53085-1217
Mailing Address - Country:US
Mailing Address - Phone:920-467-4234
Mailing Address - Fax:920-467-4984
Practice Address - Street 1:311 FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN FALLS
Practice Address - State:WI
Practice Address - Zip Code:53085-1217
Practice Address - Country:US
Practice Address - Phone:920-467-4234
Practice Address - Fax:920-467-4984
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice