Provider Demographics
NPI:1184612087
Name:PFEIFER & PFEIFER PROF LLC
Entity type:Organization
Organization Name:PFEIFER & PFEIFER PROF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCARLET
Authorized Official - Middle Name:
Authorized Official - Last Name:DISSE-PFEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-850-7614
Mailing Address - Street 1:6979 S HOLLY CIR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1577
Mailing Address - Country:US
Mailing Address - Phone:303-850-7614
Mailing Address - Fax:303-770-3482
Practice Address - Street 1:6979 S HOLLY CIR
Practice Address - Street 2:SUITE 150
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1577
Practice Address - Country:US
Practice Address - Phone:303-850-7614
Practice Address - Fax:303-770-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5440122300000X
CO105359122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty