Provider Demographics
NPI:1790394989
Name:PAHL, MARGARET (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:PAHL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4006
Mailing Address - Country:US
Mailing Address - Phone:864-214-3934
Mailing Address - Fax:
Practice Address - Street 1:1730 HIGHWAY 14 E
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-9727
Practice Address - Country:US
Practice Address - Phone:864-469-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC96741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice