Provider Demographics
NPI:1447362025
Name:ADAMS, PAMELA G (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:G
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 N MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-4830
Mailing Address - Country:US
Mailing Address - Phone:727-461-4832
Mailing Address - Fax:727-461-4835
Practice Address - Street 1:15 N MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-4830
Practice Address - Country:US
Practice Address - Phone:727-461-4832
Practice Address - Fax:727-461-4835
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL98541223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223P0700XDental ProvidersDentistProsthodontics