Pamela Jean Pfromm

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

1789 Woodlane Dr Ste D
Woodbury, MN 55125-3910

Phone

(651) 738-1284

NPI assigned

Aug 24, 2022

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodgrove Dental PA

  • General Practice Dentistry
  • Woodbury, MN
  • NPI 1356539993
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1306565288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 JOCELYN AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163611",
            "telephone_number": "651-459-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 WOODLANE DR STE D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253910",
            "telephone_number": "651-738-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFROMM",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler James Peterson, D.C.
• Amanda Jo Petri, M.A.
• Stacey S Petric, ATC
• Denise J Petrich
• Jordan Petryniec
• Elizabeth Pharr
• Chloe Johnson Philion, OTR/L
• PHS Woodbury, Inc
• John S Piatkowski, MD
• Rachael Faye Pickett Theel, FNP-C

• Dental Assistant in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dental Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.