Individual
MATTHEW ROBERT PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1597 WOODLAND PARK DR STE 200, LAYTON, UT 84041-5696
(801) 544-1940
(801) 896-0645
Mailing address
1597 WOODLAND PARK DR STE 200, LAYTON, UT 84041-5696
(801) 544-1940
(801) 896-0645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.026249
OH
1223P0221X
Pediatric Dentistry
Primary
13150075
UT
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-112
NM
Other
Enumeration date
05/09/2019
Last updated
08/16/2023
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