Organization
LARRY W. PAMPEL D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WAYNE PAMPEL DDS (OWNER)
(219) 987-5733
Entity
Organization
Contact information
Practice address
534 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-5733
(219) 987-6162
Mailing address
PO BOX 848, DEMOTTE, IN 46310-0848
(219) 987-5733
(219) 987-6162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006974
IN
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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