Provider Demographics
NPI:1700981123
Name:GUDGER, CHRISTOPHER J (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:GUDGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8351 STANDONSHIRE WAY
Mailing Address - Street 2:STE 121
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2760
Mailing Address - Country:US
Mailing Address - Phone:919-846-8400
Mailing Address - Fax:919-846-8398
Practice Address - Street 1:8351 STANDONSHIRE WAY
Practice Address - Street 2:STE 121
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2760
Practice Address - Country:US
Practice Address - Phone:919-846-8400
Practice Address - Fax:919-846-8398
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7280122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist