Healthcare Provider Details

I. General information

NPI: 1528198918
Provider Name (Legal Business Name): GILBERT J PALMIERI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 W BALTIMORE ST
BALTIMORE MD
21201-1510
US

IV. Provider business mailing address

1065 CHAPEL FORGE DR
LANCASTER PA
17601-1756
US

V. Phone/Fax

Practice location:
  • Phone: 410-706-7101
  • Fax:
Mailing address:
  • Phone: 717-898-6680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8490
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS024292L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: