Basic Information
| Provider Information | |||||||||
| NPI: | 1962901322 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHILLER | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2116 CHESTNUT ST UNIT 3502 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191035010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5614279880 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9503 NE 2ND AVE | ||||||||
| Address2: | |||||||||
| City: | MIAMI SHORES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331382704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7863104816 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2018 | ||||||||
| LastUpdateDate: | 01/08/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223E0200X | DS042962 | PA | N | Dental Providers | Dentist | Endodontics | 1223E0200X | DN25211 | FL | Y | Dental Providers | Dentist | Endodontics |
No ID Information.