Provider Demographics
NPI:1265186191
Name:CHRISTOPHER J. OVIEDO DDS MS, INC.
Entity type:Organization
Organization Name:CHRISTOPHER J. OVIEDO DDS MS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JON
Authorized Official - Last Name:OVIEDO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:415-203-6875
Mailing Address - Street 1:380 20TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2221
Mailing Address - Country:US
Mailing Address - Phone:415-752-8330
Mailing Address - Fax:415-752-8333
Practice Address - Street 1:380 20TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2221
Practice Address - Country:US
Practice Address - Phone:415-752-8330
Practice Address - Fax:415-752-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty