ELIZABETH PFOHL NPI 1740747583

NPI Information

NPI: 1740747583
Provider Name: ELIZABETH PFOHL
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
4207 GLASS RD NE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (192) 948-1813
Get Directions

Elizabeth Pfohl is a pediatric dentistry dentist in Cedar Rapids, IA. The provider is 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. Elizabeth Pfohl NPI is 1740747583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4207 GLASS RD NE
CEDAR RAPIDS, IA
ZIP 52402-538
Phone: (192) 948-1813
Fax: (319) 261-8182

The enumeration date for this NPI number is 2/28/2019 and was last updated on 7/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DDS-09682	IOWA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		09682	IOWA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DDS-09682	OTHER	IOWA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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