Basic Information
Provider Information
NPI: 1003001868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINKER
FirstName: PAMELA
MiddleName: A.
NamePrefix: DR.
NameSuffix:  
Credential: D.D.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X5226NCY Dental ProvidersDentist 

No ID Information.


Home