Provider Demographics
NPI:1588787758
Name:ROONEY, CHRISTOPHER C (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:C
Last Name:ROONEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5201 COLLEGE BLVD
Mailing Address - Street 2:#280
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1623
Mailing Address - Country:US
Mailing Address - Phone:913-491-9119
Mailing Address - Fax:913-491-3672
Practice Address - Street 1:5201 COLLEGE BLVD
Practice Address - Street 2:#280
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1623
Practice Address - Country:US
Practice Address - Phone:913-491-9119
Practice Address - Fax:913-491-3672
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS68111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice