Provider Demographics
NPI:1962605899
Name:CHRISTOPHER A SORRELL D.D.S. APDC
Entity type:Organization
Organization Name:CHRISTOPHER A SORRELL D.D.S. APDC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SORREL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:337-662-3516
Mailing Address - Street 1:911 NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584
Mailing Address - Country:US
Mailing Address - Phone:337-662-3516
Mailing Address - Fax:337-662-3516
Practice Address - Street 1:911 NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584
Practice Address - Country:US
Practice Address - Phone:337-662-3516
Practice Address - Fax:337-662-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA4816122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty