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Provider Information for 1871759043

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

DOUGLAS ALLEN PULSIPHER D.D.S.

Gender: MALE

Individual NPI: 1871759043

Calendar   Last Updated:  2008-08-06
  Certification Date: 

Details

Name Value
NPI 1871759043
Enumeration Date 2008-08-06
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4350 E RAY RD SUITE 116
PHOENIX, AZ 85044-4703
United States

Phone: 480-706-0789 | Fax:
View Map External Link
Primary Practice Address 4350 E RAY RD SUITE 116
PHOENIX, AZ 85044-4703
United States

Phone: 480-706-0789 | 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 1223G0001X - Dentist General Practice AZ 3246