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Provider Information for 1518387158

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

BRAD PFEIFLE D.D.S.

Gender: MALE

Individual NPI: 1518387158

Calendar   Last Updated:  2019-01-02
  Certification Date: 

Details

Name Value
NPI 1518387158
Enumeration Date 2014-04-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 52 MEDICAL GROUP UNIT 3690
APO, AE 09126
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 52 MEDICAL GROUP UNIT 3690
APO, AE 09126
United States

Phone: 375-452-3184 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist AZ D010190
No 122300000X - Dentist MN D13411
No 390200000X - Student in an Organized Health Care Education/Training Program