Provider Demographics
NPI:1689614059
Name:CHRISTIAN, SYLVIA S (DMD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:S
Last Name:CHRISTIAN
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 1:1558 HOOKSETT RD STE 4
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1600
Mailing Address - Country:US
Mailing Address - Phone:603-232-6512
Mailing Address - Fax:
Practice Address - Street 1:1558 HOOKSETT RD
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1600
Practice Address - Country:US
Practice Address - Phone:603-485-4855
Practice Address - Fax:603-485-2500
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NH32191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies