Palm & Panek DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PALM & PANEK DDS PC

Doing business as

Center for Oral Surgery & Dental Implants

Practice address

158 Marcell Dr NE
Suite B
Rockford, MI 49341-1362

Phone

(616) 866-4200

Fax

(616) 866-0320

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Samantha Jo Hanes

Title

Business Manager

Phone

(616) 361-7327

Specialties & licenses 1

Addresses

Other names 1

• Center for Oral Surgery & Dental Implants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Marc Bulcher, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Rapids, MI
  • NPI 1528598992
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1437206745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MARCELL DR NE",
            "address_2": "SUITE B",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411390",
            "telephone_number": "616-866-4200",
            "fax_number": "616-866-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MARCELL DR NE",
            "address_2": "SUITE B",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-866-4200",
            "fax_number": "616-866-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM & PANEK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "616-361-7327"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• One Day Niche
• Jose Luis Orozco Jr., LPC
• Addison Ouellette
• Addison Pahl
• Matthew Palazzolo, D.D.S.
• Keltie Palmer, LPC
• Dorian Parent, CHIROPRACTOR
• Lauren Michelle Park
• Katherine Partyka, PT
• Christina Pavano

• Oral and Maxillofacial Surgery (Dentist) in Rockford, MI
• Providers in Rockford, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.