MEDICARE: DR. CHRISTOPHER DEMARCO DDS

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	33908	TX

General Provider Information

NPI Number	:	1598280760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER DEMARCO DDS

Provider Business Mailing Address
First Line	:	331 SPORTSPLEX DR STE B
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5350
Country	:	US
Telephone Number	:	512-858-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 SPORTSPLEX DR
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5349
Country	:	US
Telephone Number	:	512-858-7200
Fax Number	:

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

Provider Enumeration Date	:	08/09/2017
Last Update Date	:	10/20/2023

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