Provider Demographics
NPI:1922135482
Name:CHRIS D PATTON DDS INC
Entity Type:Organization
Organization Name:CHRIS D PATTON DDS INC
Other - Org Name:CALIFORNIA SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-427-7070
Mailing Address - Street 1:3253 MOUNT TAMI DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-4634
Mailing Address - Country:US
Mailing Address - Phone:858-560-1461
Mailing Address - Fax:
Practice Address - Street 1:215 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2710
Practice Address - Country:US
Practice Address - Phone:619-427-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA354421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA35442OtherDENTI-CAL