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NPI Code Detail

MEDICARE: DR. PAMELA DENISE ATTAWAY DMD

MEDICARE:  DR. PAMELA DENISE ATTAWAY  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6974KY

General Provider Information

NPI Number : 1023123924
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA DENISE ATTAWAY DMD
Provider Business Mailing Address
First Line : 13320 SHELBYVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3936
Country : US
Telephone Number : 502-245-8494
Fax Number : 502-254-3755
Provider Business Practice Location Address
First Line : 13320 SHELBYVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3936
Country : US
Telephone Number : 502-245-8494
Fax Number : 502-254-3755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 01/07/2025

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Directions to “ DR. PAMELA DENISE ATTAWAY DMD” Practice Location

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