Provider Demographics
NPI:1699983718
Name:CHRISTOPHER J. DIRIG DDS PA
Entity type:Organization
Organization Name:CHRISTOPHER J. DIRIG DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DIRIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-873-9831
Mailing Address - Street 1:750 HARTNESS RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-3400
Mailing Address - Country:US
Mailing Address - Phone:704-873-9831
Mailing Address - Fax:704-871-1296
Practice Address - Street 1:750 HARTNESS RD
Practice Address - Street 2:SUITE C
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3400
Practice Address - Country:US
Practice Address - Phone:704-873-9831
Practice Address - Fax:704-871-1296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6664122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty