Provider Demographics
NPI:1639336902
Name:PALMER, AARON JAMES SR (DMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAMES
Last Name:PALMER
Suffix:SR
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:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-0611
Mailing Address - Country:US
Mailing Address - Phone:207-664-2474
Mailing Address - Fax:207-692-0098
Practice Address - Street 1:382 STATE ST
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-3330
Practice Address - Country:US
Practice Address - Phone:207-664-2474
Practice Address - Fax:207-692-0098
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4082122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist