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NPI Code Detail

MEDICARE: DR. MARYLOU E PFAFFENBERGER DDS

MEDICARE:  DR. MARYLOU E PFAFFENBERGER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry19293TX

General Provider Information

NPI Number : 1518063254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYLOU E PFAFFENBERGER DDS
Provider Business Mailing Address
First Line : 1025 W HEBRON PKWY STE 114
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-1121
Country : US
Telephone Number : 972-394-1611
Fax Number : 972-394-1643
Provider Business Practice Location Address
First Line : 1025 W HEBRON PKWY
Second Line : SUITE 114
City : CARROLLTON
State : TX
Zip : 75010-1120
Country : US
Telephone Number : 972-394-1611
Fax Number : 972-394-1643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 04/10/2026

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Directions to “ DR. MARYLOU E PFAFFENBERGER DDS” Practice Location

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