Provider Demographics
NPI:1144791955
Name:STEVEN A. SCHIFFENHAUS DMD PLLC
Entity Type:Organization
Organization Name:STEVEN A. SCHIFFENHAUS DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHIFFENHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-830-5003
Mailing Address - Street 1:1496 N HIGLEY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-1601
Mailing Address - Country:US
Mailing Address - Phone:480-830-5003
Mailing Address - Fax:480-981-0548
Practice Address - Street 1:1496 N HIGLEY RD STE 104
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1601
Practice Address - Country:US
Practice Address - Phone:480-830-5003
Practice Address - Fax:480-981-0548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental