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General NPI Number Information
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NPI Number | 1598986770
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Entity Type | Individual
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Provider Name | MICHAEL C PALMA DMD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 1318 S MAIN RD STE 4B
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City | VINELAND
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State | NJ
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Zip | 08360-6516
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Country | US
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Telephone | 856-692-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 1318 S MAIN RD STE 4B
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City | VINELAND
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State | NJ
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Zip | 08360-6516
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Country | US
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Telephone | 856-692-8300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS036515
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22DI02412500
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License Number State | NJ
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