Provider Demographics
NPI:1700090487
Name:HARRIS-EFURD, PAMELA FRAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:FRAN
Last Name:HARRIS-EFURD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6667 VERNON WOODS DR NE
Mailing Address - Street 2:SUITE A-19
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3215
Mailing Address - Country:US
Mailing Address - Phone:404-843-8431
Mailing Address - Fax:404-843-8420
Practice Address - Street 1:6667 VERNON WOODS DR NE
Practice Address - Street 2:SUITE A-19
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3215
Practice Address - Country:US
Practice Address - Phone:404-843-8431
Practice Address - Fax:404-843-8420
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA096371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice