Provider Demographics
NPI:1609089382
Name:CHRISTOPHER, ROBERT HAMILTON JR
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HAMILTON
Last Name:CHRISTOPHER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:HAMILTON
Other - Last Name:CHRISTOPHER
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1007 LONGMIRE RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1826
Mailing Address - Country:US
Mailing Address - Phone:936-756-3633
Mailing Address - Fax:936-756-3653
Practice Address - Street 1:1007 LONGMIRE RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1826
Practice Address - Country:US
Practice Address - Phone:936-756-3633
Practice Address - Fax:936-756-3653
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice