Provider Demographics
NPI:1659576551
Name:ACONE, CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:ACONE
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 1:3220 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2744
Mailing Address - Country:US
Mailing Address - Phone:424-263-4919
Mailing Address - Fax:424-263-4921
Practice Address - Street 1:3220 SEPULVEDA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2744
Practice Address - Country:US
Practice Address - Phone:424-263-4919
Practice Address - Fax:424-263-4921
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA508791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA002128977OtherUNITED CONCORDIA
CA841649733OtherTAX IDENTIFICATION NUMBER