Provider Demographics
NPI:1417919077
Name:GARRETT, DANIEL H (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:H
Last Name:GARRETT
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 1:4232 E CACTUS RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7602
Mailing Address - Country:US
Mailing Address - Phone:602-996-2690
Mailing Address - Fax:602-996-4130
Practice Address - Street 1:4232 E CACTUS RD
Practice Address - Street 2:SUITE 211
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7602
Practice Address - Country:US
Practice Address - Phone:602-996-2690
Practice Address - Fax:602-996-4130
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2691122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist