Provider Demographics
NPI:1265734792
Name:POHL, CHARLES B (DMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:B
Last Name:POHL
Suffix:
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:PO BOX 389
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45839-0389
Mailing Address - Country:US
Mailing Address - Phone:785-766-9770
Mailing Address - Fax:
Practice Address - Street 1:15 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:LEIPSIC
Practice Address - State:OH
Practice Address - Zip Code:45856
Practice Address - Country:US
Practice Address - Phone:419-384-3278
Practice Address - Fax:419-384-3280
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-05
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30023627122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist