Provider Demographics
NPI:1659412690
Name:CAIN, CHRISTOPHER WALKER (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:WALKER
Last Name:CAIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 HILLSBORO RD
Mailing Address - Street 2:SUITE 805
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:27215
Mailing Address - Country:US
Mailing Address - Phone:615-383-4455
Mailing Address - Fax:618-383-4032
Practice Address - Street 1:4027 HILLSBORO RD
Practice Address - Street 2:SUITE 805
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:27215
Practice Address - Country:US
Practice Address - Phone:615-383-4455
Practice Address - Fax:618-383-4032
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47911223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics