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CARL PETER PALMBLAD DDS, NPI 1407858517

Dentist in PORT JEFFERSON, NY

Last Updated on : Nov 29,2008

About CARL PETER PALMBLAD (NPI 1407858517)


CARL PETER PALMBLAD is a Dentist provider in PORT JEFFERSON, United States. His medical specialization is Dentist with a focus in General Practice.

1407858517 is NPI number of CARL PETER PALMBLAD.

CARL PETER PALMBLAD's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 041184. This taxonomy code refers to Dentist.

CARL PETER PALMBLAD has more than 16 years of experience.

CARL PETER PALMBLAD current practice location address is 14 N COUNTRY RD, PORT JEFFERSON, NY. CARL PETER PALMBLAD can be reached out via phone at 631-473-0052 and via fax at 631-474-9066 .

You can also correspond with CARL PETER PALMBLAD through mail at mailing address 14 N COUNTRY RD, PORT JEFFERSON, NY, United States. Mailing address contact number is 631-473-0052.

The enumeration date of CARL PETER PALMBLAD is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.

1407858517 NPI Information

Name CARL PETER PALMBLAD
National Provider Id (NPI) 1407858517
Entity Type Individual
Gender M
Credential DDS
Practice Address 14 N COUNTRY RD,
PORT JEFFERSON, NY, United States
Practice Telephone 631-473-0052
Practice Fax Number 631-474-9066
Mailing Address 14 N COUNTRY RD ,
PORT JEFFERSON, NY, United States
Mailing Telephone 631-473-0052
Mailing Fax Number 631-474-9066
Enumeration Date 01-Jun-2005
Last Updated Date 29-Nov-2008

CARL PETER PALMBLAD (NPI 1407858517) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 1223G0001X Dentist, General Practice 041184 NY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
01043241 MEDICAID (05) NY
BP1207112 Other (non-Medicare) (01) NY DEA

CARL PETER PALMBLAD (NPI 1407858517) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1497812564 DENNIS ROY DUBEY Psychologist 60 N COUNTRY RD, SUITE 204
PORT JEFFERSON, NY, United States
01-Jan-2007
1083771968 PATRICIA E BRILL Nurse Practitioner, Neonatal, Critical Care PO BOX 272,
EAST ISLIP, NY, United States
02-Jan-2007
1942367511 GARY JOHN KINGSLEY Psychologist 646 MAIN ST,
PORT JEFFERSON, NY, United States
03-Jan-2007
1558665414 KERRY LYNN JOHNSON Physician Assistant 635 BELLE TERRE RD, SUITE 204
PORT JEFFERSON, NY, United States
06-Jan-2011
1649327065 CAROL ELIZABETH BONURA Nurse Practitioner, Perinatal 118 NORTH COUNTRY ROAD,
PORT JEFFERSON, NY, United States
05-Jan-2007
1659428910 CAROL PALMIERI Emergency Medicine 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States
05-Jan-2007
1740725399 YASHODHAN CHIVATE Student in an Organized Health Care Education/Training Program 1 COOPER PLZ,
CAMDEN, NJ, United States
05-Jan-2017
1992240576 EMILY CILLA Physical Therapist 618 TURNER DR,
BELFORD, NJ, United States
05-Jan-2017
1578070017 REBECCA C KIRSCHNER Speech-Language Pathologist, 201 W BROADWAY APT 343,
PORT JEFFERSON, NY, United States
05-Jan-2018
1174671267 CHRISTINE KENNY Nurse Practitioner, Adult Health 74 SOUNDVIEW DR,
PORT JEFFERSON, NY, United States
08-Jan-2007
1497931356 KATHRYN E FIELD Registered Nurse 104 DOGWOOD LN,
PORT JEFFERSON, NY, United States
10-Jan-2008
1285782615 PETER G DEPASQUALE Social Worker 27 BREWSTER HILL ROAD,
SETAUKET, NY, United States
08-Jan-2007
1235288689 STEPHANIE R. MORRIS Social Worker, Clinical 18 LAURITA GATE,
PORT JEFFERSON, NY, United States
08-Jan-2007
1427107531 TARA MARIE LEWIS Nurse Practitioner, Pediatrics 6 WINDING WOOD CT,
MOUNT SINAI, NY, United States
09-Jan-2007
1285784686 MICHAEL JAMES PERLOTTO Psychologist, Clinical Child & Adolescent PO BOX 430,
STONY BROOK, NY, United States
10-Jan-2007
1356527436 MOBILERAD, INC. Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier PO BOX 708,
MOUNT SINAI, NY, United States
18-Jan-2008
1063716736 KIMBERLY JOY NICKEY Registered Nurse 162 N COUNTRY RD,
PORT JEFFERSON, NY, United States
10-Jan-2011
1649517624 DAVID DELGADO Pharmacist 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States
10-Jan-2013
1720358575 YEVHEN REZNYK Hospitalist 4500 PARSONS BLVD, FHMC, DEPARTMENT OF MEDICINE
FLUSHING, NY, United States
11-Jan-2012
1558508689 JOHN T BREUER Dentist 106 E BROADWAY,
PORT JEFFERSON, NY, United States
12-Jan-2009

FAQs

Whose NPI Number is 1407858517?

1407858517 is the NPI number of CARL PETER PALMBLAD.

What is the specialty for CARL PETER PALMBLAD?

The Specialty of CARL PETER PALMBLAD is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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