Provider Demographics
NPI:1710249651
Name:PALMATEER, KATELYN ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:ELIZABETH
Last Name:PALMATEER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 ORANGEBURG RD STE B
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-8941
Mailing Address - Country:US
Mailing Address - Phone:843-376-5170
Mailing Address - Fax:
Practice Address - Street 1:953 ORANGEBURG RD STE B
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-8941
Practice Address - Country:US
Practice Address - Phone:843-376-5170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.8108 GD122300000X
MI2901020704122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist