Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760443105 Individual Practitioner Male Practitioner

Dr. Griffith Allen Haeggquist , DDS

Dentist - Pediatric Dentistry • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Griffith Haeggquist, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Phoenix, AZ. Practice services are available at 4212 N 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4212 N 16th St

Phoenix, AZ 850165319

Telephone 6022631200
Fax 6022005383
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 5.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Phoenix, AZ (245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License AZ D5062

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D5062

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
476699 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wendy Razo

Registered Nurse - Obstetric, High-Risk

NPI 1003045329
Thomas Hall , RN

Registered Nurse

NPI 1003138942

Registered Nurse

Dr. Umar Iqbal , MD

Family Medicine

NPI 1003170077

Doctor of Medicine (M.D.)

Sharla Wyatt , RN

Registered Nurse

NPI 1003208299

Registered Nurse

NPI 1003240318

Doctor of Pharmacy (Pharm.D.)

Laura Molander

Pharmacist

NPI 1003283623

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2017

Registered at 4212 N 16TH ST, PHOENIX, AZ 850165319 (Tel: 6022631200)

📍
Updated Business Mailing Address November 13, 2017

Registered at PO BOX 31001-0698, PASADENA, CA 911100698 (Tel: 6022631200)

👤
Provider Name / Credentials Updated November 13, 2017

Recorded as GRIFFITH HAEGGQUIST, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2017

Dentist (License #D5062 in AZ)

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2015

Registered at 4212 N 16TH ST, PHOENIX, AZ 850165319 (Tel: 6022631200)

📍
Updated Business Mailing Address July 16, 2015

Registered at PO BOX 31001-0698, PASADENA, CA 911100698 (Tel: 6022631200)

👤
Provider Name / Credentials Updated July 16, 2015

Recorded as GRIFFITH HAEGGQUIST, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Dentist (License #D5062 in AZ)

🟢
Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760443105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2006
Last Update: November 13, 2017
Sole Proprietor: No

Mailing Address

Po Box 31001-0698

Pasadena, CA 911100698

Phone: 6022631200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.