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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ROBERT PARDEE DDS

MEDICARE:  DR. CHRISTOPHER ROBERT PARDEE  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
1122300000XDentist30.023754OH

General Provider Information

NPI Number : 1558624023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ROBERT PARDEE DDS
Provider Business Mailing Address
First Line : 1205 BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44052-3409
Country : US
Telephone Number : 440-240-1655
Fax Number :
Provider Business Practice Location Address
First Line : 1205 BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44052-3409
Country : US
Telephone Number : 440-240-1655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 12/26/2013

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Directions to “ DR. CHRISTOPHER ROBERT PARDEE DDS” Practice Location

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