Provider Demographics
NPI:1679677793
Name:CHRISTOPHER R ERBLAND DDS PC
Entity Type:Organization
Organization Name:CHRISTOPHER R ERBLAND DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:ERBLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-475-0140
Mailing Address - Street 1:300 WHITE SPRUCE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623
Mailing Address - Country:US
Mailing Address - Phone:585-475-0140
Mailing Address - Fax:585-475-9934
Practice Address - Street 1:300 WHITE SPRUCE BOULEVARD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-475-0140
Practice Address - Fax:585-475-9934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046492122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty