Provider Demographics
NPI:1740280106
Name:DUMONT, CHRISTINA M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:DUMONT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:MCENERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9600 CHILDRENS DRIVE
Mailing Address - Street 2:BUILDING D
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9335
Mailing Address - Country:US
Mailing Address - Phone:513-336-6700
Mailing Address - Fax:513-398-8683
Practice Address - Street 1:3611 SOCIALVILLE FOSTER RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9335
Practice Address - Country:US
Practice Address - Phone:513-398-7171
Practice Address - Fax:513-398-8683
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077304174400000X
OH35.077304208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist