MEDICARE: DR. CHRISTOPHER PRESNELL DDS, MS

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	122300000X	Dentist	11010	NC

General Provider Information

NPI Number	:	1194218842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER PRESNELL DDS, MS

Provider Business Mailing Address
First Line	:	35 FOREST GLN
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-8939
Country	:	US
Telephone Number	:	704-451-2113
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 E NC HIGHWAY 54 STE 410
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2262
Country	:	US
Telephone Number	:	919-544-8106
Fax Number	:

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

Provider Enumeration Date	:	06/07/2018
Last Update Date	:	01/26/2022

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