Provider Demographics
NPI:1164507737
Name:WALSH, PAMELA DAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DAY
Last Name:WALSH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 WARD RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1309
Mailing Address - Country:US
Mailing Address - Phone:303-420-4001
Mailing Address - Fax:303-422-5288
Practice Address - Street 1:5610 WARD RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1309
Practice Address - Country:US
Practice Address - Phone:303-420-4001
Practice Address - Fax:303-422-5288
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO63841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice