Provider Demographics
NPI:1942383245
Name:COMBS, CHRIS R (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:R
Last Name:COMBS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 BELLA VISTA WAY
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-3704
Mailing Address - Country:US
Mailing Address - Phone:479-855-6764
Mailing Address - Fax:479-855-6791
Practice Address - Street 1:2690 BELLA VISTA WAY
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-3704
Practice Address - Country:US
Practice Address - Phone:479-855-6764
Practice Address - Fax:479-855-6791
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR29841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice