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NPI Code Detail

MEDICARE: DR. DAVID PALMER DMD

MEDICARE: DR. DAVID PALMER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodontics2741ME

General Provider Information

NPI Number : 1679517106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID PALMER DMD
Provider Business Mailing Address
First Line : 25 LONG CREEK DR
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2440
Country : US
Telephone Number : 207-775-7767
Fax Number :
Provider Business Practice Location Address
First Line : 25 LONG CREEK DR
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2440
Country : US
Telephone Number : 207-775-7767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID PALMER DMD” Practice Location

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