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Provider Information for 1184938185



PAMELA JEAN MERRITT DDS, PC

Gender: FEMALE

Individual NPI: 1184938185

Calendar Last Updated: 2010-08-02

Details

Name Value
NPI 1184938185
Enumeration Date 2010-08-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2022 BRAMBLETON AVE SW PAMELA J MERRITT DDS PC
ROANOKE, VA 24015
United States

Phone: 540-342-8588 | Fax: 540-342-7301
View Map External Link
Primary Practice Address 2022 BRAMBLETON AVE SW
ROANOKE, VA 24015
United States

Phone: 540-342-8588 | Fax: 540-342-7301
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist VA 0401006459