Provider Demographics
NPI:1174549422
Name:PAMELA A. LINKER, DDS, PA
Entity type:Organization
Organization Name:PAMELA A. LINKER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-455-2177
Mailing Address - Street 1:5500 HIGHWAY 49 S STE 100
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-8456
Mailing Address - Country:US
Mailing Address - Phone:704-455-2177
Mailing Address - Fax:704-455-3816
Practice Address - Street 1:5500 HIGHWAY 49 S STE 100
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-8456
Practice Address - Country:US
Practice Address - Phone:704-455-2177
Practice Address - Fax:704-455-3816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8995306Medicaid