person
Dr. Levi Samuel Palmer, DDS
Pediatric Dentist in Kelseyville, California
NPI 1174740898

Levi Samuel Palmer is a Pediatric Dentist based in Kelseyville, CA and is specialized in Pediatric Dentistry. Levi Samuel Palmer practices in Kelseyville, CA and has the professional credentials of DDS. The NPI Number for Levi Samuel Palmer is 1174740898 and holds a License No. 52667 (California).

The current practice location address for Levi Samuel Palmer is 7275 Adobe Creek Dr, Kelseyville, CA and can be reached out via phone at 707-263-0629 and via fax at 707-263-0629.

Location: 7275 Adobe Creek Dr, Kelseyville, CA, 95451-8008
person
Provider Profile Details
NPI Number
1174740898
Provider Name
Levi Samuel Palmer
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7275 Adobe Creek Dr, Kelseyville, CA, 95451-8008
Phone Number
707-263-0629
Fax Number
707-263-0629
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52667 01 CA LICENSE
52667 01 CA LICENCE
institution
Provider Business Practice Location Address Details
Address
7275 Adobe Creek Dr
City
State
Zip
95451-8008
Phone Number
707-263-0629
Fax Number
707-263-0629
person
Provider Business Mailing Address Details
Address
7275 Adobe Creek Dr
City
State
Zip
95451-8008
Phone Number
707-263-0629
Fax Number
707-263-0629
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
52667 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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