Palm Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13941 Issued in MD

Legal business name

PALM DENTAL ASSOCIATES

Practice address

7951 Crain Hwy S
Glen Burnie, MD 21061-4934

Phone

(410) 766-2255

Fax

(410) 766-1442

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Palm

Title

Owner/ Dentist

Phone

(410) 766-0558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720024649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210601147",
            "telephone_number": "410-766-0558",
            "fax_number": "410-766-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614934",
            "telephone_number": "410-766-2255",
            "fax_number": "410-766-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "410-766-0558",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akriti Pahari
• Gretchen M Paige, AUD
• Ashley Nicole Palestis
• Raghunatha Reddy Pallerla
• Stephen B Pallett, AU.D.
• Jodi Lynn Pandullo, P.T.
• Manjiri M Pansare, M.D.
• Celia Parada-Worby, CNS
• Kenneth L Pardoe, PA
• Parents' Place of Maryland, Inc.

• General Practice Dentistry in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.