Provider Demographics
NPI:1811102387
Name:SLIGH, CHRISTA I (DMD)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:I
Last Name:SLIGH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 9TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:CHILDERSBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35044-1642
Mailing Address - Country:US
Mailing Address - Phone:256-378-6174
Mailing Address - Fax:
Practice Address - Street 1:138 9TH AVE SW
Practice Address - Street 2:
Practice Address - City:CHILDERSBURG
Practice Address - State:AL
Practice Address - Zip Code:35044-1642
Practice Address - Country:US
Practice Address - Phone:256-378-6174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL46051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice