Levi Samuel Palmer in Kelseyville - Pediatric Dentistry
Levi Samuel Palmer - NPI 1174740898
Levi Samuel Palmer is a Pediatric Dentistry in Kelseyville, California. Levi Samuel Palmer practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Levi Samuel Palmer is 1174740898. The last update date is 2007-07-08.
Levi Samuel Palmer's current location address is 7275 Adobe Creek Dr, Kelseyville, California. You can contact this provider via phone number 7072630629 and fax number 7072630629. The mailing address for Levi Samuel Palmer is 7275 Adobe Creek Dr, Kelseyville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Levi Samuel Palmer |
|---|---|
| Address | 7275 Adobe Creek Dr, Kelseyville, California |
| Phone Number | 7072630629 |
| Fax Number | 7072630629 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1174740898 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7275 Adobe Creek Dr |
|---|---|
| City | Kelseyville |
| State | California (CA) |
| Post Code | 954518008 |
| Phone Number | 7072630629 |
| Fax Number | 7072630629 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 52667 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52667 | CA | LICENSE | |
| 52667 | CA | LICENCE |
Post Comment/ Review Below
What is the unique identification code assigned to Levi Samuel Palmer by the Centers for Medicare & Medicaid Services?
The Levi Samuel Palmer has been issued the NPI (National Provider Identifier) 1174740898. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Levi Samuel Palmer is located?
The Levi Samuel Palmer is situated at the following address: 7275 Adobe Creek Dr, Kelseyville, CA, 954518008.
What is Levi Samuel Palmer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Levi Samuel Palmer's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174740898 to Levi Samuel Palmer?
The Centers for Medicare & Medicaid Services assigned the 1174740898 to Levi Samuel Palmer on 2007-04-20.
As of what date were the Levi Samuel Palmer's details last updated?
The information pertaining to the Levi Samuel Palmer, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY