Provider Demographics
NPI:1861414146
Name:CHRISTOPHER, JENNIFER (DMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 THE PLZ STE 3
Mailing Address - Street 2:
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-2900
Mailing Address - Country:US
Mailing Address - Phone:732-449-2312
Mailing Address - Fax:732-449-4623
Practice Address - Street 1:800 THE PLZ STE 3
Practice Address - Street 2:
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-2900
Practice Address - Country:US
Practice Address - Phone:732-449-2312
Practice Address - Fax:732-449-4623
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI217011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDI21701OtherLICENSE NUMBER