Provider Demographics
NPI:1982916508
Name:JAMES, CHRISTOPHER M (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:JAMES
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 1:12500 SE 2ND CIR STE 135
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6031
Mailing Address - Country:US
Mailing Address - Phone:267-804-3372
Mailing Address - Fax:
Practice Address - Street 1:12500 SE 2ND CIR STE 135
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6031
Practice Address - Country:US
Practice Address - Phone:267-804-3372
Practice Address - Fax:360-695-8994
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601662051223E0200X, 1223G0001X
CA1012811223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice