Basic Information
| Provider Information | |||||||||
| NPI: | 1003001868 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINKER | ||||||||
| FirstName: | PAMELA | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5500 HIGHWAY 49 S | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HARRISBURG | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280758414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044552177 | ||||||||
| FaxNumber: | 7044553816 | ||||||||
| Practice Location | |||||||||
| Address1: | 5500 HIGHWAY 49 S | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HARRISBURG | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280758414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044552177 | ||||||||
| FaxNumber: | 7044553816 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2007 | ||||||||
| LastUpdateDate: | 09/13/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 5226 | NC | Y | Dental Providers | Dentist |
No ID Information.