Healthcare Provider Details

I. General information

NPI: 1194218842
Provider Name (Legal Business Name): CHRISTOPHER PRESNELL DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 E NC HIGHWAY 54 STE 410
DURHAM NC
27713-2262
US

IV. Provider business mailing address

35 FOREST GLN
CHAPEL HILL NC
27517-8939
US

V. Phone/Fax

Practice location:
  • Phone: 919-544-8106
  • Fax:
Mailing address:
  • Phone: 704-451-2113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number11010
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: