Byron Clifton Palmer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417705 Issued in VA

Practice address

1022 E Stuart Dr Ste E
Galax, VA 24333-2512

Phone

(276) 236-4625

NPI assigned

Mar 26, 2018

Last updated

Jun 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1265937072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E STUART DR STE E",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332512",
            "telephone_number": "276-236-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E STUART DR STE E",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332512",
            "telephone_number": "276-236-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 US-191",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "84532",
            "country_code": "US",
            "telephone_number": "801-857-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BYRON",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10840221-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven P Olson, MD
• Treva M. Osborne, LPN
• Woodrow Edward Pack Jr.
• Zachary Lee Page, FNP
• Michael Roy Painter
• Katrina Bolt Parks, MSN, NP-C
• Shadagopan Saragur Parthasarathy, D.P.T.
• Pathology Associates of Southwestern Virginia Inc
• Tracy Ann Patton, LPN
• Paul C. Liebrecht, M.D., P.C.

• General Practice Dentistry in Galax, VA
• Providers in Galax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.