Provider Demographics
NPI:1861920357
Name:PFEIFFER, GARRICK MICHAEL (DMD)
Entity type:Individual
Prefix:DR
First Name:GARRICK
Middle Name:MICHAEL
Last Name:PFEIFFER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 E VIA DE VENTURA APT 2015
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6614
Mailing Address - Country:US
Mailing Address - Phone:505-554-5269
Mailing Address - Fax:
Practice Address - Street 1:1860 S ALMA SCHOOL RD STE 5
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7078
Practice Address - Country:US
Practice Address - Phone:480-821-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0097351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice