Provider Demographics
NPI:1982702072
Name:POHL, RAYMOND FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:FRANKLIN
Last Name:POHL
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 1:9592 E. MAPLEWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-7016
Mailing Address - Country:US
Mailing Address - Phone:303-796-0171
Mailing Address - Fax:303-796-0173
Practice Address - Street 1:7800 S. ELATI STREET
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-798-5465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice