MEDICARE: DR. CHRISTOPHER BRIAN ERNST DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS026953L	PA

General Provider Information

NPI Number	:	1053328278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER BRIAN ERNST DMD

Provider Business Mailing Address
First Line	:	509 WASHINGTON AVE
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-2144
Country	:	US
Telephone Number	:	215-968-1902
Fax Number	:	215-968-3100

Provider Business Practice Location Address
First Line	:	509 WASHINGTON AVE
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-2144
Country	:	US
Telephone Number	:	215-968-1902
Fax Number	:	215-968-3100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/08/2007

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