Provider Demographics
NPI:1255742433
Name:SINICK, CHRISTOPHER RYAN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RYAN
Last Name:SINICK
Suffix:
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:SINICK FAMILY DENTAL
Mailing Address - Street 2:5115 RIVER STYX ROAD
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256
Mailing Address - Country:US
Mailing Address - Phone:330-725-9851
Mailing Address - Fax:330-764-3070
Practice Address - Street 1:SINICK FAMILY DENTAL
Practice Address - Street 2:5115 RIVER STYX ROAD
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256
Practice Address - Country:US
Practice Address - Phone:330-725-9851
Practice Address - Fax:330-764-3070
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-09
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300242401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice