Healthcare Provider Details

I. General information

NPI: 1568957157
Provider Name (Legal Business Name): CARMEN L RUTH CHRISTOPHER D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD STE 540
OXON HILL MD
20745-3112
US

IV. Provider business mailing address

7450 ALBERT RD FL 3
BRANDYWINE MD
20613-3035
US

V. Phone/Fax

Practice location:
  • Phone: 301-888-2233
  • Fax: 301-997-1489
Mailing address:
  • Phone: 301-888-2233
  • Fax: 301-997-1489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number17294
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: