MEDICARE: DR. CHRISTOPHER AUSTIN LAING 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	DN20236	FL

General Provider Information

NPI Number	:	1356696272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER AUSTIN LAING D.D.S

Provider Business Mailing Address
First Line	:	2808 REMINGTON GREEN CIR
Second Line	:	SUITE 200
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8706
Country	:	US
Telephone Number	:	850-523-9341
Fax Number	:	850-523-9344

Provider Business Practice Location Address
First Line	:	2808 REMINGTON GREEN CIR
Second Line	:	SUITE 200
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8706
Country	:	US
Telephone Number	:	850-523-9341
Fax Number	:	850-523-9344

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

Provider Enumeration Date	:	07/17/2012
Last Update Date	:	08/28/2014

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