Provider Demographics
NPI:1902065493
Name:HALPER, CHRISTOPHER R (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:R
Last Name:HALPER
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:4530 NELSON BROGDON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5412
Mailing Address - Country:US
Mailing Address - Phone:770-965-2340
Mailing Address - Fax:678-482-7115
Practice Address - Street 1:4530 NELSON BROGDON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5412
Practice Address - Country:US
Practice Address - Phone:770-965-2340
Practice Address - Fax:678-482-7115
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2013-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GADN0139311223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry