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Elizabeth Pfohl
Pediatric Dentist in Cedar Rapids, Iowa
NPI 1740747583

Elizabeth Pfohl is a Pediatric Dentist based in Cedar Rapids, IA and is specialized in Pediatric Dentistry. Elizabeth Pfohl practices in Cedar Rapids, IA. The NPI Number for Elizabeth Pfohl is 1740747583 and holds a License No. 09682 (Iowa).

The current practice location address for Elizabeth Pfohl is 4207 Glass Rd Ne, Cedar Rapids, IA and can be reached out via phone at 192-948-1813 and via fax at 319-261-8182.

Location: 4207 Glass Rd Ne, Cedar Rapids, IA, 52402-2538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740747583
Provider Name
Elizabeth Pfohl
Credential
Provider Entity Type
Individual
Gender
Female
Address
4207 Glass Rd Ne, Cedar Rapids, IA, 52402-2538
Phone Number
192-948-1813
Fax Number
319-261-8182
Provider Enumeration Date
02/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DDS-09682 01 IA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4207 Glass Rd Ne
City
Cedar Rapids
State
Iowa
Zip
52402-2538
Phone Number
192-948-1813
Fax Number
319-261-8182
person
Provider Business Mailing Address Details
Address
4207 Glass Rd Ne
City
Cedar Rapids
State
Iowa
Zip
52402-2538
Phone Number
192-948-1813
Fax Number
319-261-8182
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DDS-09682 (Iowa)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
09682 (Iowa)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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