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General NPI Number Information
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NPI Number | 1881814275
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Entity Type | Individual
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Provider Name | KRISTINA LYNN PALMER DDS
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3333 S PENNSYLVANIA AVE SUITE 200
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City | LANSING
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State | MI
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Zip | 48910-4795
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Country | US
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Telephone | 517-393-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 W GRAND RIVER AVE
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City | WILLIAMSTON
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State | MI
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Zip | 48895-9374
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Country | US
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Telephone | 517-655-2993
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901019178
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19178
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19178
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License Number State | MI
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