MEDICARE: DR. CHRISTOPHER ALLAN PATTERSON D.D.S.

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	30596	TX

General Provider Information

NPI Number	:	1972995900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ALLAN PATTERSON D.D.S.

Provider Business Mailing Address
First Line	:	2015 E RIVERSIDE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-1338
Country	:	US
Telephone Number	:	512-652-0164
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 E RIVERSIDE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-1338
Country	:	US
Telephone Number	:	512-652-0164
Fax Number	:

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

Provider Enumeration Date	:	02/27/2015
Last Update Date	:	02/27/2015

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Directions to “ DR. CHRISTOPHER ALLAN PATTERSON D.D.S.” Practice Location

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