Healthcare Provider Details

I. General information

NPI: 1508028879
Provider Name (Legal Business Name): PAMELA LOMBARDO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 S PLATTE CLAY WAY
KEARNEY MO
64060-7649
US

IV. Provider business mailing address

171 S PLATTE CLAY WAY
KEARNEY MO
64060-7649
US

V. Phone/Fax

Practice location:
  • Phone: 816-628-2737
  • Fax:
Mailing address:
  • Phone: 816-628-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2008017414
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number60574
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: