Provider Demographics
NPI:1710930748
Name:HAYNER, CHRISTOPHER P (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:HAYNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 7TH AVE
Mailing Address - Street 2:SUITE 1207
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1919
Mailing Address - Country:US
Mailing Address - Phone:412-281-3955
Mailing Address - Fax:412-281-4880
Practice Address - Street 1:411 7TH AVE
Practice Address - Street 2:SUITE 1207
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1919
Practice Address - Country:US
Practice Address - Phone:412-281-3955
Practice Address - Fax:412-281-4880
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035631L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice