Provider Demographics
NPI:1902869886
Name:EIFLER, GEORGE ERIC (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ERIC
Last Name:EIFLER
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:11130 N TATUM BLVD
Mailing Address - Street 2:103
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1662
Mailing Address - Country:US
Mailing Address - Phone:602-956-2260
Mailing Address - Fax:602-956-0479
Practice Address - Street 1:11130 N. TATUM BLVD
Practice Address - Street 2:103
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028
Practice Address - Country:US
Practice Address - Phone:602-956-2260
Practice Address - Fax:602-956-0479
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ45601223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics