Provider Demographics
NPI:1245355395
Name:LUNSFORD, CHRISTOPHER FRANKLIN (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FRANKLIN
Last Name:LUNSFORD
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 1:1018 W DIXIE AVE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6310
Mailing Address - Country:US
Mailing Address - Phone:352-787-3310
Mailing Address - Fax:352-787-5927
Practice Address - Street 1:1018 W DIXIE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-6310
Practice Address - Country:US
Practice Address - Phone:352-787-3310
Practice Address - Fax:352-787-5927
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN156911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice