Provider Demographics
NPI:1902360779
Name:CHRISOPHER HENES DDS, PLLC
Entity Type:Organization
Organization Name:CHRISOPHER HENES DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HENES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-245-7779
Mailing Address - Street 1:12510 E ILIFF AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5379
Mailing Address - Country:US
Mailing Address - Phone:303-695-0102
Mailing Address - Fax:
Practice Address - Street 1:12510 E ILIFF AVE STE 305
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5379
Practice Address - Country:US
Practice Address - Phone:303-695-0102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty