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NPI Code Detail

MEDICARE: DR. KRISTINA LYNN PALMER DDS

MEDICARE:  DR. KRISTINA LYNN PALMER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2901019178MI
2122300000XDentist19178MI
31223G0001XGeneral Practice Dentistry19178MI

General Provider Information

NPI Number : 1881814275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTINA LYNN PALMER DDS
Provider Business Mailing Address
First Line : 1284 W GRAND RIVER AVE
Second Line :
City : WILLIAMSTON
State : MI
Zip : 48895-9374
Country : US
Telephone Number : 517-655-2993
Fax Number :
Provider Business Practice Location Address
First Line : 3333 S PENNSYLVANIA AVE
Second Line : SUITE 200
City : LANSING
State : MI
Zip : 48910-4795
Country : US
Telephone Number : 517-393-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 12/11/2025

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Directions to “ DR. KRISTINA LYNN PALMER DDS” Practice Location

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