Healthcare Provider Details

I. General information

NPI: 1386046795
Provider Name (Legal Business Name): PAMELA WORKMAN R.D.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA J MURPHY R.D.H.

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 NORTH 7TH STREET
ZANESVILLE OH
43701
US

IV. Provider business mailing address

205 NORTH 7TH STREET
ZANESVILLE OH
43701
US

V. Phone/Fax

Practice location:
  • Phone: 740-454-9741
  • Fax: 740-452-5154
Mailing address:
  • Phone: 740-454-9741
  • Fax: 740-452-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number31.005023
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: