Patrick Anthony Palma, DMD
Individual provider Active NPI Dentist · Mingo Junction, OH
NPI 1215025630 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215025630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 18889 (OH)
- Practice address
- 620 Commercial St
Mingo Junction, OH 43938-1164 - Phone
- (740) 535-0600
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217002693 | OH | Order and Referring Only - Dentist |
0749585479 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18889 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18889 | OH | Yes |
Addresses
Primary practice location
620 Commercial St
Mingo Junction, OH 43938-1164
Mailing address
620 Commercial St
Mingo Junction, OH 43938-1164
Phone (740) 535-0600
Other providers in Mingo Junction, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.