Provider Demographics
NPI:1235344706
Name:POHLHAUS, STEVEN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:POHLHAUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 CONCOURSE DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-1024
Mailing Address - Country:US
Mailing Address - Phone:410-789-4999
Mailing Address - Fax:866-619-6208
Practice Address - Street 1:1302 CONCOURSE DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-1024
Practice Address - Country:US
Practice Address - Phone:410-789-4999
Practice Address - Fax:866-619-6208
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD103341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice