Pamela Susan Egner, DDS

Individual provider Active NPI General Practice Dentistry · Van Alstyne, TX

NPI 1487694162 · NPPES record last updated Apr 18, 2012

Key facts

NPI
1487694162
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
20323 (TX)
Practice address
202 E. Jefferson
Van Alstyne, TX 75495
Phone
(903) 482-6339
Fax
(903) 482-1313
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20323 TX Yes

Addresses

Primary practice location

202 E. Jefferson
Van Alstyne, TX 75495

Mailing address

202 E. Jefferson
P.O. Box 729
Van Alstyne, TX 75495
Phone (903) 482-6339

Other providers in Van Alstyne, TX

All providers in Van Alstyne, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.