Individual provider · NPI-1

Dr. Christopher Bockrath, DDS

Dentist, General Practice · Thornton, CO

NPI number1356909683
StatusActive
Last updated in NPPESMay 10, 2023

Details

NPI
1356909683
Entity type
Individual (NPI-1)
Name
Dr. Christopher Bockrath
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2019
Certification date
May 10, 2023
Last updated
May 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice00204003COYes
1223G0001X Dentist, General Practice30.025798OH

Practice location

951 E 120th Ave Unit D
Thornton, CO 80233-5719

Phone 303-305-4466

Mailing address

3811 Grand Oak Trl
Dayton, OH 45440-5011

Phone 937-204-9233

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