Provider Demographics
NPI:1548054844
Name:ERIC CHRISTENSEN, DDS PC
Entity type:Organization
Organization Name:ERIC CHRISTENSEN, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:631-288-4422
Mailing Address - Street 1:PO BOX 680
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11977-0680
Mailing Address - Country:US
Mailing Address - Phone:631-288-4422
Mailing Address - Fax:
Practice Address - Street 1:45 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11977-1212
Practice Address - Country:US
Practice Address - Phone:631-288-4422
Practice Address - Fax:631-288-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental