Donald Pfotenhauer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901010719 Issued in MI

Practice address

2500 7TH Ave S
Suite 216
Escanaba, MI 49829-1176

Phone

(906) 789-9400

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donald J. Pfotenhauer DDS PC

  • General Practice Dentistry
  • Escanaba, MI
  • NPI 1275759813
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1568868487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE S",
            "address_2": "SUITE 216",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291176",
            "telephone_number": "906-789-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE S",
            "address_2": "SUITE 216",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291176",
            "telephone_number": "906-789-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOTENHAUER",
        "first_name": "DONALD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J Peltz, M.A., M.S.W., ACSW
• Peninsula Pharmacy Escanaba LLC
• Jeffrey Pepin
• David Perry, DDS
• Gloria Lynn Peterson, PA
• Kristopher J Pfotenhauer, DDS
• Thomas P. Pfotenhauer, D.D.S.
• Jarroed Pierce
• Debra L Pierre, PH.D. IN PSYCHOLOGY
• Gary Michael Pinter, DDS

• Dentist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.