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NPI Code Detail

MEDICARE: DR. PAMELA WETHERINGTON D.D.S.

MEDICARE:  DR. PAMELA  WETHERINGTON  D.D.S.
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
1122300000XDentist8228TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316937667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA WETHERINGTON D.D.S.
Provider Business Mailing Address
First Line : 311 23RD AVE N
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1503
Country : US
Telephone Number : 615-340-5601
Fax Number : 615-340-8592
Provider Business Practice Location Address
First Line : 311 23RD AVE N
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1503
Country : US
Telephone Number : 615-340-5601
Fax Number : 615-340-8592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 04/24/2013

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Directions to “ DR. PAMELA WETHERINGTON D.D.S.” Practice Location

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