Provider Demographics
NPI:1609963560
Name:KINDIG, CHRISTOPHER W (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:KINDIG
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 1:3380 NE SUGARHILL AVE
Mailing Address - Street 2:SUGARHILL DENTAL
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3724
Mailing Address - Country:US
Mailing Address - Phone:772-334-3653
Mailing Address - Fax:772-334-9840
Practice Address - Street 1:3380 NE SUGARHILL AVE
Practice Address - Street 2:SUGARHILL DENTAL
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3724
Practice Address - Country:US
Practice Address - Phone:772-334-3653
Practice Address - Fax:772-334-9840
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN167591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL760706979OtherTAX I.D.