ELIZABETH PFOHL NPI 1740747583

NPI Information

  • NPI: 1740747583
  • Provider Name: ELIZABETH PFOHL
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 4207 GLASS RD NE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Phone: (192) 948-1813

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NPI Details

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
11223P0221XDentistPediatric DentistryDDS-09682IOWAYes
2390200000XStudent in an Organized Health Care Education/Training Program09682IOWANo

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
1DDS-09682OTHERIOWASTATE 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: 3/30/2025

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