Healthcare Provider Details

I. General information

NPI: 1013109743
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL SECHRIST DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E CITRUS AVE SUITE 201
REDLANDS CA
92373-4747
US

IV. Provider business mailing address

700 E REDLANDS BLVD SUITE U-210
REDLANDS CA
92373-6109
US

V. Phone/Fax

Practice location:
  • Phone: 909-435-4995
  • Fax:
Mailing address:
  • Phone: 858-876-8743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number47317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: