Provider Demographics
NPI:1396959557
Name:TODD S. GARRETT DDS PC
Entity type:Organization
Organization Name:TODD S. GARRETT DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-476-8100
Mailing Address - Street 1:15009 W BELL RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3213
Mailing Address - Country:US
Mailing Address - Phone:623-476-8100
Mailing Address - Fax:623-792-5311
Practice Address - Street 1:15009 W BELL RD
Practice Address - Street 2:SUITE 175
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3213
Practice Address - Country:US
Practice Address - Phone:623-476-8100
Practice Address - Fax:623-792-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty