Healthcare Provider Details

I. General information

NPI: 1528123429
Provider Name (Legal Business Name): STUART EVAN GARBER D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 N 67TH PL
SCOTTSDALE AZ
85251-6082
US

IV. Provider business mailing address

9301 E FLATHORN DR
SCOTTSDALE AZ
85255-6607
US

V. Phone/Fax

Practice location:
  • Phone: 480-946-0473
  • Fax:
Mailing address:
  • Phone: 480-563-1652
  • Fax: 480-563-1622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number5183
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: