Provider Demographics
NPI:1700959079
Name:KAUFFMAN, CHRISTEN (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:KAUFFMAN
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 1:1018 AIRPORT RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4621
Mailing Address - Country:US
Mailing Address - Phone:501-767-7633
Mailing Address - Fax:
Practice Address - Street 1:1018 AIRPORT RD
Practice Address - Street 2:SUITE 108
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4621
Practice Address - Country:US
Practice Address - Phone:501-767-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice