Healthcare Provider Details

I. General information

NPI: 1346763091
Provider Name (Legal Business Name): BRIAN PFISTER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 MONTGOMERY HWY STE 1
DOTHAN AL
36303-2618
US

IV. Provider business mailing address

2660 MONTGOMERY HWY STE 1
DOTHAN AL
36303-2618
US

V. Phone/Fax

Practice location:
  • Phone: 855-939-5566
  • Fax:
Mailing address:
  • Phone: 855-939-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6443
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: