Provider Demographics
NPI:1679764344
Name:SPOHR, CHRISTOPHER ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ARTHUR
Last Name:SPOHR
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 1:5713 PEBBLE VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7373
Mailing Address - Country:US
Mailing Address - Phone:317-896-1515
Mailing Address - Fax:317-881-9255
Practice Address - Street 1:5713 PEBBLE VILLAGE LN
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-7373
Practice Address - Country:US
Practice Address - Phone:317-896-1515
Practice Address - Fax:317-881-9255
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010838A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice