Provider Demographics
NPI:1619260551
Name:RYFF, BRANDON JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:JAMES
Last Name:RYFF
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 1:5410 N SCOTTSDALE RD STE D500
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-5941
Mailing Address - Country:US
Mailing Address - Phone:480-991-2180
Mailing Address - Fax:480-991-2183
Practice Address - Street 1:5410 N SCOTTSDALE RD STE D500
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-5941
Practice Address - Country:US
Practice Address - Phone:480-991-2180
Practice Address - Fax:480-991-2180
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008192122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes122300000XDental ProvidersDentist