Provider Demographics
NPI:1093336109
Name:ADAMS, CHRISTOPHER BRYER (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRYER
Last Name:ADAMS
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 1:3755 S CAPITAL OF TEXAS HWY STE 292
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7908
Mailing Address - Country:US
Mailing Address - Phone:515-892-0013
Mailing Address - Fax:
Practice Address - Street 1:3755 S CAPITAL OF TEXAS HWY STE 292
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7908
Practice Address - Country:US
Practice Address - Phone:512-892-0013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391981223P0221X, 1223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program