Healthcare Provider Details

I. General information

NPI: 1215054044
Provider Name (Legal Business Name): CHRISTOPHER SCOTT NORTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2007
Last Update Date: 05/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 FRANKLIN AVE STE 102
ONTARIO CA
91764
US

IV. Provider business mailing address

12111 SALISBURY BLVD
LUBBOCK TX
79424-5041
US

V. Phone/Fax

Practice location:
  • Phone: 909-587-4919
  • Fax:
Mailing address:
  • Phone: 972-832-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number14230
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: