Provider Demographics
NPI:1447456587
Name:CHRISTOPHER K. ANENE, DMD & ASSOCIATES, P.A
Entity type:Organization
Organization Name:CHRISTOPHER K. ANENE, DMD & ASSOCIATES, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-831-6344
Mailing Address - Street 1:PO BOX 410621
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28241-0621
Mailing Address - Country:US
Mailing Address - Phone:704-831-6344
Mailing Address - Fax:704-831-6368
Practice Address - Street 1:3607 WHITEHALL PARK DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3341
Practice Address - Country:US
Practice Address - Phone:704-831-6344
Practice Address - Fax:704-831-6368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903384Medicaid