Provider Demographics
NPI:1831331677
Name:DINN, CHRISTIAN J (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:J
Last Name:DINN
Suffix:
Gender:M
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:PO BOX 774
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-0774
Mailing Address - Country:US
Mailing Address - Phone:508-888-1515
Mailing Address - Fax:508-888-1552
Practice Address - Street 1:93 ROUTE 6A
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-1877
Practice Address - Country:US
Practice Address - Phone:508-888-4372
Practice Address - Fax:508-888-1552
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855067122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist