# STAUFFER WHITING DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164075602
- **Authorized official:** SCOTT STAUFFER D.M.D. (MEMBER)
- **Authorized official phone:** (480) 200-0688

## Contact information

- **Practice address:** 36275 N GANTZEL RD STE 100, SAN TAN VALLEY, AZ 85140-7319
- **Practice address phone:** (480) 781-4999
- **Mailing address:** 36275 N GANTZEL RD STE 100, SAN TAN VALLEY, AZ 85140-7319
- **Mailing address phone:** (480) 781-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019