Healthcare Provider Details

I. General information

NPI: 1124268040
Provider Name (Legal Business Name): CHRISTOPHER NIGH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2009
Last Update Date: 03/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N 1ST AVE
EVANSVILLE IN
47710-1217
US

IV. Provider business mailing address

206 N 1ST AVE
EVANSVILLE IN
47710-1217
US

V. Phone/Fax

Practice location:
  • Phone: 812-428-3384
  • Fax:
Mailing address:
  • Phone: 812-428-3384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12007421A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: