Provider Demographics
NPI:1962624155
Name:PFOHL, DAVID CHRISTIAN SR (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTIAN
Last Name:PFOHL
Suffix:SR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PIDGEON HILL DRIVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165
Mailing Address - Country:US
Mailing Address - Phone:703-430-0938
Mailing Address - Fax:703-450-2257
Practice Address - Street 1:14 PIDGEON HILL DRIVE
Practice Address - Street 2:SUITE 360
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:703-430-0938
Practice Address - Fax:703-450-2257
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010075121223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics