Provider Demographics
NPI:1114524881
Name:JOSHUA PALMATEER DMD AND KATELYN PALMATEER DMD, PLLC
Entity Type:Organization
Organization Name:JOSHUA PALMATEER DMD AND KATELYN PALMATEER DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMATEER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:810-650-3511
Mailing Address - Street 1:4701 PLAINFIELD AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-1644
Mailing Address - Country:US
Mailing Address - Phone:616-364-8716
Mailing Address - Fax:
Practice Address - Street 1:4701 PLAINFIELD AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-1644
Practice Address - Country:US
Practice Address - Phone:616-364-8716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental