IndividualActive
Brett Quackenbush, DDS, MSD
NPI 1669408472 · Pediatric Dentistry · Gilbert, AZ
Provider details
- NPI number
- 1669408472
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- No
- License
- D4963 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
1534 E Ray Rd
#121
Gilbert, AZ 85296-4429
Phone: (480) 963-8373
Fax: (480) 963-4489
Approximate (ZIP-level) locationGet directions
Mailing address
1534 E Ray Rd
Gilbert, AZ 85296-4429
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.