Provider Demographics
NPI:1275742843
Name:LAURITZEN, CHRISTOPHER SMITH I (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SMITH
Last Name:LAURITZEN
Suffix:I
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ELITE DENTAL PARTNERS
Mailing Address - Street 2:655 DEERWOOD AVE
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ELITE DENTAL PARTNERS
Practice Address - Street 2:655 DEERWOOD AVE
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-8276
Practice Address - Country:US
Practice Address - Phone:435-723-8276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9738345-99211223G0001X
WI600176415122300000X
TX182391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice