Provider Demographics
NPI:1689016990
Name:CAMBRE, CHRISTINA J (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:J
Last Name:CAMBRE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CREIGHTON
Mailing Address - State:NE
Mailing Address - Zip Code:68729-3004
Mailing Address - Country:US
Mailing Address - Phone:402-358-3484
Mailing Address - Fax:402-358-3411
Practice Address - Street 1:1209 MAIN ST
Practice Address - Street 2:
Practice Address - City:CREIGHTON
Practice Address - State:NE
Practice Address - Zip Code:68729-3004
Practice Address - Country:US
Practice Address - Phone:402-358-3484
Practice Address - Fax:402-358-3411
Is Sole Proprietor?:No
Enumeration Date:2013-07-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0295431223G0001X
FLDN 201831223G0001X
NE75291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice