Individual
DR. RYAN MARK PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6940 MESA RIDGE PKWY, FOUNTAIN, CO 80817-1533
(719) 382-4936
Mailing address
90 WATCH HILL DR APT D, COLORADO SPRINGS, CO 80906-7939
(785) 650-7964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202006
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730434622
OFFICE NPI (FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS)
CO
Enumeration date
06/20/2013
Last updated
06/20/2013
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