Provider Demographics
NPI:1265514152
Name:GASPER, CHRISTINE CAROL (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CAROL
Last Name:GASPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 N MAY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3423
Mailing Address - Country:US
Mailing Address - Phone:405-810-8098
Mailing Address - Fax:405-810-0833
Practice Address - Street 1:6715 N MAY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3423
Practice Address - Country:US
Practice Address - Phone:405-810-8098
Practice Address - Fax:405-810-0833
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK40271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice