Healthcare Provider Details

I. General information

NPI: 1609709443
Provider Name (Legal Business Name): GRAYSON D PALMER DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 HARRIS ST STE A
EUREKA CA
95503-4501
US

IV. Provider business mailing address

831 HARRIS ST STE A
EUREKA CA
95503-4501
US

V. Phone/Fax

Practice location:
  • Phone: 707-499-0026
  • Fax: 707-443-2371
Mailing address:
  • Phone: 707-499-0026
  • Fax: 707-443-2371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: GRAYSON DEAN PALMER
Title or Position: PRESIDENT
Credential: DDS
Phone: 707-443-8367