MEDICARE: DR. CHRISTOPHER RAYMOND WESTFALL 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	22DI02012300	NJ

General Provider Information

NPI Number	:	1538151519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER RAYMOND WESTFALL DMD

Provider Business Mailing Address
First Line	:	2301 E EVESHAM RD
Second Line	:	SUITE 205
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4501
Country	:	US
Telephone Number	:	856-772-3777
Fax Number	:	856-772-5878

Provider Business Practice Location Address
First Line	:	2301 E EVESHAM RD
Second Line	:	SUITE 205
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4501
Country	:	US
Telephone Number	:	856-772-3777
Fax Number	:	856-772-5878

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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