Provider Demographics
NPI:1659855161
Name:CHRISTOPHER J. DREW DDS
Entity Type:Organization
Organization Name:CHRISTOPHER J. DREW DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-839-0502
Mailing Address - Street 1:2161 E WARNER RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3550
Mailing Address - Country:US
Mailing Address - Phone:480-839-0502
Mailing Address - Fax:480-839-8413
Practice Address - Street 1:2161 E WARNER RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3550
Practice Address - Country:US
Practice Address - Phone:480-839-0502
Practice Address - Fax:480-839-8413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1699975789OtherDENTAL