Provider Demographics
NPI:1659470508
Name:ISAACS, CHRISTINE M (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:ISAACS
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 1:8170 S UNIVERSITY BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3163
Mailing Address - Country:US
Mailing Address - Phone:303-770-1106
Mailing Address - Fax:303-770-0078
Practice Address - Street 1:8170 S UNIVERSITY BLVD STE 240
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3163
Practice Address - Country:US
Practice Address - Phone:303-770-1106
Practice Address - Fax:303-770-0078
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8856122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist