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Dr. Griffith Allen Haeggquist, DDS
Pediatric Dentist in Phoenix, Arizona
NPI 1760443105

Griffith Allen Haeggquist is a Pediatric Dentist based in Pasadena, AZ and is specialized in Pediatric Dentistry. Griffith Allen Haeggquist practices in Phoenix, AZ and has the professional credentials of DDS. The NPI Number for Griffith Allen Haeggquist is 1760443105 and holds a License No. D5062 (Arizona).

The current practice location address for Griffith Allen Haeggquist is 4212 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-263-1200 and via fax at 602-200-5383.

Location: 4212 N 16Th St, Phoenix, AZ, 91110-0698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760443105
Provider Name
Griffith Allen Haeggquist
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4212 N 16Th St, Phoenix, AZ, 91110-0698
Phone Number
602-263-1200
Fax Number
602-200-5383
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
476699 05 AZ
institution
Provider Business Practice Location Address Details
Address
4212 N 16Th St
City
Phoenix
State
Arizona
Zip
85016-5319
Phone Number
602-263-1200
Fax Number
602-200-5383
person
Provider Business Mailing Address Details
Address
4212 N 16Th St
City
Phoenix
State
Arizona
Zip
85016-5319
Phone Number
602-263-1200
Fax Number
602-200-5383
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D5062 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D5062 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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