Healthcare Provider Details

I. General information

NPI: 1811785389
Provider Name (Legal Business Name): ANNA NOELLE PANFIL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7219 N LITCHFIELD RD
GLENDALE AZ
85309-1529
US

IV. Provider business mailing address

18077 W BANFF LN
SURPRISE AZ
85388-7650
US

V. Phone/Fax

Practice location:
  • Phone: 623-856-4339
  • Fax:
Mailing address:
  • Phone: 602-813-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012525
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: