Provider Demographics
NPI:1346209103
Name:SPRIGGS, CHARLES BRIAN (DDS)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:BRIAN
Last Name:SPRIGGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 N 32ND ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3300
Mailing Address - Country:US
Mailing Address - Phone:602-667-6673
Mailing Address - Fax:888-523-9006
Practice Address - Street 1:4715 N 32ND ST
Practice Address - Street 2:SUITE 108
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3300
Practice Address - Country:US
Practice Address - Phone:602-667-6673
Practice Address - Fax:888-523-9006
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ80041223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery