# CHARLES B. PALMER DDS

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

## Provider details

- **NPI number:** 1609046226
- **Authorized official:** DR. CHARLES B PALMER D.D.S. (OWNER)
- **Authorized official phone:** (804) 493-8993

## Contact information

- **Practice address:** 15587 KINGS HWY, MONTROSS, VA 22520-0394
- **Practice address phone:** (804) 493-8993
- **Practice address fax:** (804) 493-0907
- **Mailing address:** PO BOX 394, 15587 KINGS HWY, MONTROSS, VA 22520-0394
- **Mailing address phone:** (804) 493-8993
- **Mailing address fax:** (804) 493-0907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006352 | VA | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008