Provider Demographics
NPI:1427004654
Name:PALMIERI, VICTOR A (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:A
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 E BROOKWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-9359
Mailing Address - Country:US
Mailing Address - Phone:480-759-2481
Mailing Address - Fax:
Practice Address - Street 1:2737 E BROOKWOOD CT
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-9359
Practice Address - Country:US
Practice Address - Phone:480-759-2481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA138561223E0200X
WADE000068991223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223E0200XDental ProvidersDentistEndodontics