Healthcare Provider Details

I. General information

NPI: 1538732920
Provider Name (Legal Business Name): DF DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 09/21/2026
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 E RAINTREE DR SUITE 102
SCOTTSDALE AZ
85260
US

IV. Provider business mailing address

9220 E RAINTREE DR SUITE 102
SCOTTSDALE AZ
85260
US

V. Phone/Fax

Practice location:
  • Phone: 480-767-6918
  • Fax: 480-831-6054
Mailing address:
  • Phone: 480-767-6918
  • Fax: 480-831-6054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. RYAN DIQUATTRO
Title or Position: OWNER
Credential: DMD
Phone: 480-767-6918