Individual provider · Type 1 NPI

Paul Pamula

Oral and Maxillofacial Surgery (Dentist) · Mount Pleasant, WI

NPI number 1073930459 Active

Practice location

1925 S Green Bay Rd
Mount Pleasant, WI 53406-4654

Fax (262) 634-4694

Mailing address

7739 W Ardmore Ave
Chicago, IL 60631-2261

Other practice locations

  • 4707 Washington Rd, Kenosha, WI 53144-1597 · (262) 634-4646

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1002245 (WI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1073930459

Paul Pamula's National Provider Identifier is 1073930459, issued on Mar 24, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mount Pleasant, WI. The record was last updated on Jun 23, 2020.