Provider Demographics
NPI:1831486265
Name:STAPPERT, CHRISTIAN FJ (MS, DDS, PHD,)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:FJ
Last Name:STAPPERT
Suffix:
Gender:M
Credentials:MS, DDS, PHD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4001
Mailing Address - Country:US
Mailing Address - Phone:212-998-9305
Mailing Address - Fax:
Practice Address - Street 1:421 FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-9218
Practice Address - Country:US
Practice Address - Phone:212-998-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0000111223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics