Provider Demographics
NPI:1962664094
Name:COMER, CHRISTOPHER ROBERT (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:COMER
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 1:5302 FREDERICK ST
Mailing Address - Street 2:#103
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4812
Mailing Address - Country:US
Mailing Address - Phone:912-355-8771
Mailing Address - Fax:
Practice Address - Street 1:5302 FREDERICK ST
Practice Address - Street 2:#103
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4812
Practice Address - Country:US
Practice Address - Phone:912-355-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013762122300000X
SC4478122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist