Doctor Name: | CHRISTOPHER R MYERS |
NPI Number: | 1134310592 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | DDS-08861 |
Business Practice Address: | 800 E 1st St Mercy North, Suite E250 Ankeny, IA - 500212077 |
Business Phone Number: | 5159639600 |
Business Fax Number: | 5159630162 |
Mailing Address: | 800 E 1st St, Mercy North, Suite E250 ANKENY |
State: | IA |
Postal Code: | 500212077 |
Phone Number: | 5159639600 |
Fax Number: | 5159630162 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DDS-08861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |