MEDICARE: DR. CHRISTOPHER B. KARYDES D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	016451	NJ

General Provider Information

NPI Number	:	1134385180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER B. KARYDES D.D.S.

Provider Business Mailing Address
First Line	:	86 VALLEY RD
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2209
Country	:	US
Telephone Number	:	973-746-1616
Fax Number	:	973-746-4515

Provider Business Practice Location Address
First Line	:	86 VALLEY RD
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2209
Country	:	US
Telephone Number	:	973-746-1616
Fax Number	:	973-746-4515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

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