Pamela Fly Albin, RDH
Individual provider Active NPI Dental Hygienist · Memphis, TN
NPI 1609464668 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1609464668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2136 (TN)
- Practice address
- 875 Union Ave # C-511
Memphis, TN 38103-3513 - Phone
- (901) 448-1056
- Fax
- (901) 448-2264
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2136 | TN | MD | Psychologist |
| DH02136 | TN | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH02136 | TN | |
| Dental Hygienist | 124Q00000X | 2136 | TN | Yes |
Addresses
Primary practice location
875 Union Ave # C-511
Memphis, TN 38103-3513
Mailing address
875 Union Ave # C511
Memphis, TN 38103-3513
Phone (901) 448-1056
Other providers in Memphis, TN
- James W Alberding
- Alberta Home Care Inc
- Lauren D Albertine
- Nicole Mary Alberts
- David Louis Albin
- Kristina Albonetti
- Jimmy E. Albright
- Markela Albright
- John F Albritton
- Maria Cecilia Alcantara Cipriano
All providers in Memphis, TN · Dental Hygienist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.