Provider Demographics
NPI:1881034262
Name:LOTTINGER, CHRISTY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:LOTTINGER
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 1:118 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3402
Mailing Address - Country:US
Mailing Address - Phone:504-301-5915
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVE # MC1710
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-1267
Practice Address - Country:US
Practice Address - Phone:860-679-3300
Practice Address - Fax:860-679-1702
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT118471223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery