Provider Demographics
NPI:1841418613
Name:PFAFFENBACH, AMY C (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:C
Last Name:PFAFFENBACH
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 1:100 SITTERLY RD
Mailing Address - Street 2:STE 102
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-5671
Mailing Address - Country:US
Mailing Address - Phone:518-346-8233
Mailing Address - Fax:
Practice Address - Street 1:100 SITTERLY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-5671
Practice Address - Country:US
Practice Address - Phone:518-383-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2016-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0487911223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry