Provider Demographics
NPI:1194094391
Name:SWARTZ, CHRISTOPHER PERRY (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PERRY
Last Name:SWARTZ
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 1:1101 N NORMA ST
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3157
Mailing Address - Country:US
Mailing Address - Phone:760-446-2233
Mailing Address - Fax:
Practice Address - Street 1:1101 N NORMA ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3157
Practice Address - Country:US
Practice Address - Phone:760-446-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD210671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics