Larry W. Pampel D.d.s., Inc.

NPI #1487922456 in Demotte, Indiana

Provider Information

NPI Number: 1487922456
Entity Type: Organization
Organization Name: Larry W. Pampel D.d.s., Inc.
Primary Specialty: Dentist
Enumeration Date: Dec 6, 2011
Last Updated: Dec 6, 2011

Practice Location

Address: 534 N HALLECK ST
City: Demotte
State: Indiana
ZIP Code: 46310-9553
Phone: (219) 987-5733

Authorized Official

Name: DR. LARRY WAYNE PAMPEL, DDS
Title: OWNER
Phone: (219) 987-5733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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