Provider Demographics
NPI:1902970510
Name:SCHIAPPA, CHRISTOPHER JOSEPH (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:SCHIAPPA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16401 MEADOW VISTA DRIVE
Mailing Address - Street 2:#103
Mailing Address - City:PIONEER
Mailing Address - State:CA
Mailing Address - Zip Code:95666
Mailing Address - Country:US
Mailing Address - Phone:209-295-5251
Mailing Address - Fax:209-295-1591
Practice Address - Street 1:16401 MEADOW VISTA DRIVE
Practice Address - Street 2:#103
Practice Address - City:PIONEER
Practice Address - State:CA
Practice Address - Zip Code:95666
Practice Address - Country:US
Practice Address - Phone:209-295-5251
Practice Address - Fax:209-295-1591
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA286171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice