Provider Demographics
NPI:1962439364
Name:BATES, CHRISTOPHER FREDERICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FREDERICK
Last Name:BATES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33060 STAHL LN
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-3131
Mailing Address - Country:US
Mailing Address - Phone:830-438-6095
Mailing Address - Fax:
Practice Address - Street 1:601 NW LOOP 410
Practice Address - Street 2:SUITE 455
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5510
Practice Address - Country:US
Practice Address - Phone:210-342-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218461223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics