Provider Demographics
NPI:1306979356
Name:CHRISTOPHER, DONALD CHARLES (DDS)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:CHARLES
Last Name:CHRISTOPHER
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 1:5900 PRINCESS GARDEN PARKWAY
Mailing Address - Street 2:LANHAM CENTRE SUITE 420
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2952
Mailing Address - Country:US
Mailing Address - Phone:301-577-2962
Mailing Address - Fax:301-577-4702
Practice Address - Street 1:5900 PRINCESS GARDEN PARKWAY
Practice Address - Street 2:LANHAM CENTRE SUITE 420
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2952
Practice Address - Country:US
Practice Address - Phone:301-577-2962
Practice Address - Fax:301-577-4702
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8520122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist