Provider Demographics
NPI:1568654010
Name:CHRISTOPHER J. PAONI, D.D.S., P.A.
Entity type:Organization
Organization Name:CHRISTOPHER J. PAONI, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAONI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-724-6103
Mailing Address - Street 1:106 S OZARK ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-1530
Mailing Address - Country:US
Mailing Address - Phone:620-724-6103
Mailing Address - Fax:620-724-4328
Practice Address - Street 1:106 S OZARK ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:KS
Practice Address - Zip Code:66743-1530
Practice Address - Country:US
Practice Address - Phone:620-724-6103
Practice Address - Fax:620-724-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6708122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17279OtherBL;UE CROSS BLUE SHIELD
KS875521OtherUNITED C ONCORDIA