Provider Demographics
NPI:1134312051
Name:GRIEGER, KORINNE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:KORINNE
Middle Name:MARIE
Last Name:GRIEGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 N HAYDEN RD BLDG I
Mailing Address - Street 2:SUITE #101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5687
Mailing Address - Country:US
Mailing Address - Phone:480-998-2971
Mailing Address - Fax:480-998-0467
Practice Address - Street 1:10601 N HAYDEN RD BLDG I
Practice Address - Street 2:SUITE #101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5687
Practice Address - Country:US
Practice Address - Phone:480-998-2971
Practice Address - Fax:480-998-0467
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD7347122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist