Provider Demographics
NPI:1851403497
Name:BIFFEN, DONALD REID (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:REID
Last Name:BIFFEN
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 1:23 N COURTLAND ST
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2101
Mailing Address - Country:US
Mailing Address - Phone:570-421-2929
Mailing Address - Fax:570-420-8897
Practice Address - Street 1:23 N COURTLAND ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2101
Practice Address - Country:US
Practice Address - Phone:570-421-2929
Practice Address - Fax:570-420-8897
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019456L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice