Provider Demographics
NPI:1386046795
Name:WORKMAN, PAMELA (RDH)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:J
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:205 NORTH 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701
Mailing Address - Country:US
Mailing Address - Phone:740-454-9741
Mailing Address - Fax:740-452-5154
Practice Address - Street 1:205 NORTH 7TH STREET
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-454-9741
Practice Address - Fax:740-452-5154
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31.005023124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist