# DAVID S PALMER, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336361484
- **Authorized official:** DR. DAVID S PALMER DMD (PRESIDENT)
- **Authorized official phone:** (207) 775-7767

## Contact information

- **Practice address:** 25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
- **Practice address phone:** (207) 775-7767
- **Practice address fax:** (207) 775-7702
- **Mailing address:** 25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
- **Mailing address phone:** (207) 775-7767
- **Mailing address fax:** (207) 775-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 2741 | ME | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020