| Larry W. Pampel D.d.s., Inc. | |
|
534 N Halleck St Demotte IN 46310-9553 | |
| (219) 987-5733 | |
| (219) 987-6162 |
| Full Name | Larry W. Pampel D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 534 N Halleck St, Demotte, Indiana |
| Authorized Official Name and Position | Larry Wayne Pampel (OWNER) |
| Authorized Official Contact | 2199875733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W. Pampel D.d.s., Inc. Po Box 848 Demotte IN 46310-0848 Ph: (219) 987-5733 | Larry W. Pampel D.d.s., Inc. 534 N Halleck St Demotte IN 46310-9553 Ph: (219) 987-5733 |
| NPI Number | 1487922456 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487922456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12006974 (Indiana) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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