Provider Demographics
NPI:1649492125
Name:HESTER, CHRIS (D M D)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:HESTER
Suffix:
Gender:M
Credentials:D M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 PARK GATE DR
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-3010
Mailing Address - Country:US
Mailing Address - Phone:662-844-7231
Mailing Address - Fax:662-844-0142
Practice Address - Street 1:105 PARK GATE DR
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-3010
Practice Address - Country:US
Practice Address - Phone:662-844-7231
Practice Address - Fax:662-844-0142
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2946-96122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist