Healthcare Provider Details

I. General information

NPI: 1427004654
Provider Name (Legal Business Name): VICTOR A PALMIERI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2737 E BROOKWOOD CT
PHOENIX AZ
85048-9359
US

IV. Provider business mailing address

2737 E BROOKWOOD CT
PHOENIX AZ
85048-9359
US

V. Phone/Fax

Practice location:
  • Phone: 480-759-2481
  • Fax:
Mailing address:
  • Phone: 480-759-2481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number13856
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDE00006899
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: