Provider Demographics
NPI:1134452535
Name:QUINLAN, PAMELA CHAN (DMD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:CHAN
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:KAMOLPECHARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1700 E WHIPP RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-2919
Mailing Address - Country:US
Mailing Address - Phone:937-434-8870
Mailing Address - Fax:
Practice Address - Street 1:1700 E WHIPP RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-2919
Practice Address - Country:US
Practice Address - Phone:937-434-8870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist