NPI 1609871094

Brian J Dorfman, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Anthem, AZ

Practice location

Address: 42104 N Venture Dr STE A106, Anthem, AZ 85086-3824
Phone: (623) 551-6556
Fax: (623) 551-6557

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 32232 (AZ)

Other Oral & Maxillofacial Surgery providers in Arizona →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 6337 (AZ)

Other Dentist providers in Arizona →

Registry record

NPI: 1609871094
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2005
Record last updated: 19 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.