Healthcare Provider Details

I. General information

NPI: 1073434635
Provider Name (Legal Business Name): PALMER ORTHODONTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8509 OWENFIELD DR
POWELL OH
43065-9835
US

IV. Provider business mailing address

8509 OWENFIELD DR
POWELL OH
43065-9835
US

V. Phone/Fax

Practice location:
  • Phone: 216-926-4821
  • Fax:
Mailing address:
  • Phone: 216-926-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAHYE JOO PALMER
Title or Position: ORTHODONTIST
Credential: DMD, MSD
Phone: 216-926-4821