# LARRY W. PAMPEL D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487922456
- **Authorized official:** DR. LARRY WAYNE PAMPEL DDS (OWNER)
- **Authorized official phone:** (219) 987-5733

## Contact information

- **Practice address:** 534 N HALLECK ST, DEMOTTE, IN 46310-9553
- **Practice address phone:** (219) 987-5733
- **Practice address fax:** (219) 987-6162
- **Mailing address:** PO BOX 848, DEMOTTE, IN 46310-0848
- **Mailing address phone:** (219) 987-5733
- **Mailing address fax:** (219) 987-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12006974 | IN | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 12/06/2011