Provider Demographics
NPI:1184913089
Name:PALMBERG, ERIK ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ANDREW
Last Name:PALMBERG
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 1:2 W DRY CREEK CIR STE 170
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4479
Mailing Address - Country:US
Mailing Address - Phone:303-741-4600
Mailing Address - Fax:
Practice Address - Street 1:2 W DRY CREEK CIR STE 170
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-741-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-00201817122300000X
MND12903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist