MEDICARE: CHRISTOPHER JOHN BEINER 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	6815	VA

General Provider Information

NPI Number	:	1881711661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN BEINER D.D.S.

Provider Business Mailing Address
First Line	:	4227 DALE BLVD
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-2243
Country	:	US
Telephone Number	:	703-878-9192
Fax Number	:

Provider Business Practice Location Address
First Line	:	4227 DALE BLVD
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-2243
Country	:	US
Telephone Number	:	703-878-9192
Fax Number	:

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	07/08/2007

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