Provider Demographics
NPI:1568476562
Name:PFANNENSTIEL, ARNOLD (DDS ,FAGD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:PFANNENSTIEL
Suffix:
Gender:M
Credentials:DDS ,FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 BRIDGETOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4313
Mailing Address - Country:US
Mailing Address - Phone:215-364-7888
Mailing Address - Fax:215-396-2356
Practice Address - Street 1:1315 BRIDGETOWN PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-4313
Practice Address - Country:US
Practice Address - Phone:215-364-7888
Practice Address - Fax:215-396-2356
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022264-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice