Provider Demographics
NPI:1619529872
Name:DR. CHRISTOPHER J. DOLLAR, DDS, PLLC
Entity type:Organization
Organization Name:DR. CHRISTOPHER J. DOLLAR, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-398-5545
Mailing Address - Street 1:28969 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-0916
Mailing Address - Country:US
Mailing Address - Phone:248-398-5545
Mailing Address - Fax:248-398-6153
Practice Address - Street 1:28969 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-0916
Practice Address - Country:US
Practice Address - Phone:248-398-5545
Practice Address - Fax:248-398-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI19606OtherLICENSE