Latham, Christopher Wright

Latham, Christopher Wright is an individual health care provider with primary practice located at 2047 Park St , Jacksonville FL 32204-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Latham, Christopher Wright can be contacted via phone (904) 388-7665.

Contact Information

Primary practice address
2047 Park St Jacksonville FL 32204-3809
Phone: (904) 388-7665
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D12636 Minnesota
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 56616 Minnesota
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 18401 Florida

Profile Details

NPI number 1831353747
LBN Legal business name Latham, Christopher Wright
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Sep 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831353747 NPPES
Minnesota MEDICAID ENROLLED

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