MEDICARE: DR. CHRISTOPHER C OATES DDS

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	7948	AZ
2	1223G0001X	General Practice Dentistry	58874	CA

General Provider Information

NPI Number	:	1336464353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER C OATES DDS

Provider Business Mailing Address
First Line	:	2860 MICHELLE FL 2
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92606-1008
Country	:	US
Telephone Number	:	714-368-2077
Fax Number	:	714-368-2092

Provider Business Practice Location Address
First Line	:	1559 PACIFIC COAST HWY
Second Line	:	STE 101
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-3214
Country	:	US
Telephone Number	:	310-666-3290
Fax Number	:

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

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	06/12/2013

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