Palmer Family Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

8425 Issued in AZ

Legal business name

PALMER FAMILY DENTAL

Practice address

810 W 8TH St
Safford, AZ 85546-3109

Phone

(928) 428-6161

Fax

(928) 428-6169

NPI assigned

Nov 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Palmer, DDS

Title

Dentist/Owner

Phone

(928) 428-6161

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1023481553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W. 8TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "85546",
            "telephone_number": "928-428-6161",
            "fax_number": "928-428-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W 8TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463109",
            "telephone_number": "928-428-6161",
            "fax_number": "928-428-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "928-428-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Nuttall, PHARMD
• Zarina Pabin, RD
• Lydia Palafox, CRNA
• Tajma Flavia Palma, NP
• Palmer and Johnson Family Dental LLC
• Palmer Family Dental
• Mark Palmer, DDS
• Marshall Dennis Palmer, O.D.
• Christina Panasci
• Ana Daryl Pasaylo, PHARMACIST

• Preferred Provider Organization in Safford, AZ
• Providers in Safford, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.