Individual
COLEMAN O PALMERTREE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 HOSPITAL ROAD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723
Mailing address
1 HOSPITAL ROAD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1844-79
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306188768
DELTA DENTAL OF NC
NC
05
—
1306188768
—
NC
01
—
905P9
BCBS
NC
Enumeration date
03/25/2013
Last updated
04/19/2016
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