Provider Demographics
NPI:1861515207
Name:BABYCH, CHRIS (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:BABYCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 W PLACITA SOMBRA CHULA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-7051
Mailing Address - Country:US
Mailing Address - Phone:618-917-6644
Mailing Address - Fax:
Practice Address - Street 1:2934 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2110
Practice Address - Country:US
Practice Address - Phone:520-742-9500
Practice Address - Fax:520-877-9800
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5829122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist