Healthcare Provider Details

I. General information

NPI: 1407288707
Provider Name (Legal Business Name): CHRISTOPHER BIGLEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S LAKE AVE STE 630
PASADENA CA
91101-4918
US

IV. Provider business mailing address

70 S LAKE AVE STE 630
PASADENA CA
91101-4918
US

V. Phone/Fax

Practice location:
  • Phone: 626-440-9134
  • Fax:
Mailing address:
  • Phone: 626-440-9134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number62799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: