Provider Demographics
NPI:1699962928
Name:SPIER, CHRISTOPHER TJ (DDS)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:TJ
Last Name:SPIER
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 1:409 BOTULPH LN
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6912
Mailing Address - Country:US
Mailing Address - Phone:505-988-5194
Mailing Address - Fax:505-988-2956
Practice Address - Street 1:409 BOTULPH LN
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6912
Practice Address - Country:US
Practice Address - Phone:505-988-5194
Practice Address - Fax:505-988-2956
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1628122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist