Dr. Conner John Christensen
Pediatric Dentist Dentist - General Practice
1439 Stillwater Ave Ste 7
Cheyenne
, Wyoming 82009-7367
Dr. Conner John Christensen
Pediatric Dentist Dentist - General Practice
1439 Stillwater Ave Ste 7
Cheyenne
, Wyoming 82009-7367
(402) 955-5400
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About
Features
Specialties
- General Practice
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Conner John Christensen
- 820 W 42nd St Ste 7
- Scottsbluff, NE
- Zip : 69361-4704
- Phone : (402) 955-5400
Second Address
- Dr. Conner John Christensen
- 1439 Stillwater Ave Ste 7
- Cheyenne, WY
- Zip : 82009-7367
- Phone : (307) 778-7100
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Is Dr. Conner John Christensen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 7237 | NE |
| N | 213EG0000X | General Practice | 7237 | NE |
| N | 1223P0221X | Pediatric Dentist | 1482 | WY |
| Y | 1223P0221X | Pediatric Dentist | 7237 | NE |
National Provider Identifier
| NPI | 1104209501 |
|---|---|
| Provider Name | Dr. Conner John Christensen |
| First Address | Scottsbluff, NE 69361-4704 |
| Second Address | Cheyenne, WY 82009-7367 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2015 |
| Last Update Date | 18/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.