Pamela Jean Entorf, GDH RDH BS MEPD

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3215016 Issued in WI

Practice address

620 W Clairemont Ave
Chippewa Valley Technical College Dental Hygiene Progra
Eau Claire, WI 54701

Phone

(715) 833-6506

Fax

(715) 833-6447

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1194991000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W CLAIREMONT AVE",
            "address_2": "CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE PROGRA",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-833-6370",
            "fax_number": "715-833-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W CLAIREMONT AVE",
            "address_2": "CHIPPEWA VALLEY TECHNICAL COLLEGE DENTAL HYGIENE PROGRA",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-833-6506",
            "fax_number": "715-833-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTORF",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "GDH RDH BS MEPD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3215016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Endle, MS-CF-SLP
• Stephen Mathias Endres, MD
• McKenna Annmarie Endvick, MS CF-SLP
• Wendi Jean Engum
• Kala Rae Ann Ennen
• Ep Monitoring Services
• Danielle Erdman
• Andrea S Erickson, PA-C
• Emily Mary Erickson, BSN, RN
• Grace Erickson

• Dental Hygienist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.