Provider Demographics
NPI:1487056321
Name:ELINE, CHRISTOPHER AUSTIN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:AUSTIN
Last Name:ELINE
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 1:970 LOUCKS RD STE C
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-2273
Mailing Address - Country:US
Mailing Address - Phone:717-854-5551
Mailing Address - Fax:
Practice Address - Street 1:970 LOUCKS RD STE C
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2273
Practice Address - Country:US
Practice Address - Phone:717-854-5551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15508122300000X
PADS042011122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist