Provider Demographics
NPI:1295736684
Name:FOX, CHRISTINE EDITH (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:EDITH
Last Name:FOX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32792 OCEAN REACH DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4662
Mailing Address - Country:US
Mailing Address - Phone:302-703-2838
Mailing Address - Fax:
Practice Address - Street 1:32792 OCEAN REACH DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4662
Practice Address - Country:US
Practice Address - Phone:302-703-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-0001246122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist