Dallin Palmer, DMD
Individual provider Active NPI Dentist · Mapleton, UT
NPI 1366842981 · NPPES record last updated Feb 11, 2016
Key facts
- NPI
- 1366842981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9461687 (UT)
- Practice address
- 425 N Main St
Mapleton, UT 84664-3410 - Phone
- (801) 491-8191
- Fax
- (801) 491-8191
- NPI assigned
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30182 | TX | MD | Dentist |
| 9461687 | UT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30182 | TX | |
| Dentist | 122300000X | 9461687 | UT | Yes |
Addresses
Primary practice location
425 N Main St
Mapleton, UT 84664-3410
Mailing address
1843 E 160 S
Spanish Fork, UT 84660-5587
Phone (801) 634-1996
Other providers in Mapleton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.