Provider Demographics
NPI:1952748147
Name:CHRISTENSEN, ROBERT MORLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MORLEY
Last Name:CHRISTENSEN
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 1:204 W HYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1753
Mailing Address - Country:US
Mailing Address - Phone:970-925-2715
Mailing Address - Fax:970-925-2716
Practice Address - Street 1:204 W HYMAN AVE
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1753
Practice Address - Country:US
Practice Address - Phone:970-925-2715
Practice Address - Fax:970-925-2716
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD105954122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist