Healthcare Provider Details

I. General information

NPI: 1548449697
Provider Name (Legal Business Name): DR. ANDREW J. KRYGIER D.M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8952 E DESERT COVE DR STE D-101
SCOTTSDALE AZ
85260-6775
US

IV. Provider business mailing address

8952 E DESERT COVE DR STE D-101
SCOTTSDALE AZ
85260-6775
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-8333
  • Fax: 480-661-9277
Mailing address:
  • Phone: 480-661-8333
  • Fax: 480-661-9277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW JAMES KRYGIER
Title or Position: PRESIDENT/OWNER
Credential: D.M.D.
Phone: 480-661-8333