Provider Demographics
NPI:1851733794
Name:MULCAHY, CHRISTINA GLEICHMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:GLEICHMAN
Last Name:MULCAHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 WESTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7400
Mailing Address - Country:US
Mailing Address - Phone:515-225-6742
Mailing Address - Fax:
Practice Address - Street 1:3700 WESTOWN PKWY
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-7400
Practice Address - Country:US
Practice Address - Phone:515-225-6742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094981223G0001X
TX291821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice