Healthcare Provider Details

I. General information

NPI: 1386922920
Provider Name (Legal Business Name): PAMELA NGUYEN MURPHY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA NGUYEN MURPHY DMD, MPH

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MINER AVE W
LADYSMITH WI
54848-1725
US

IV. Provider business mailing address

PO BOX 7900
MARSHFIELD WI
54449-7900
US

V. Phone/Fax

Practice location:
  • Phone: 715-532-2500
  • Fax: 715-532-9606
Mailing address:
  • Phone: 888-533-2684
  • Fax: 715-502-5100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number7207-15
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: