Provider Demographics
NPI:1184834053
Name:PALMIERI, TONY (DMD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 NOBLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-1345
Mailing Address - Country:US
Mailing Address - Phone:724-693-9700
Mailing Address - Fax:724-693-9700
Practice Address - Street 1:5025 NOBLESTOWN RD
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:PA
Practice Address - Zip Code:15071-1345
Practice Address - Country:US
Practice Address - Phone:724-693-9700
Practice Address - Fax:724-693-9700
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029618L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice