Provider Demographics
NPI:1013912864
Name:CHAFFIN, CHRIS L (DDS)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:L
Last Name:CHAFFIN
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 1:605 E HOLLAND AVE
Mailing Address - Street 2:STE 214
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1246
Mailing Address - Country:US
Mailing Address - Phone:509-467-6128
Mailing Address - Fax:509-467-6155
Practice Address - Street 1:605 E HOLLAND AVE
Practice Address - Street 2:STE 214
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1246
Practice Address - Country:US
Practice Address - Phone:506-467-6128
Practice Address - Fax:509-467-6155
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA006836122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist