Dentist in PORT JEFFERSON, NY
Last Updated on : Mar 07,2023
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 17 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 1 years ago.Basic NPI information of CARL PETER PALMBLAD (NPI 1407858517) is provided below.
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 | 07-Mar-2023 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | Dentist, General Practice | 041184 | NY |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
01043241 | MEDICAID (05) | NY |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1649390725 | VIVIAN ABANO BOLLMANN | Social Worker, Clinical | 2705 FALCON AVE,
MEDFORD, NY, United States |
30-Mar-2007 |
1417575721 | ABBY LEEFER, LICENSED CLINICAL SOCIAL WORKER, PC | Social Worker, Clinical | 35 PURITAN PATH,
PORT JEFFERSON, NY, United States |
13-Jul-2020 |
1790149771 | YASSER K ABDELBAKI | Internal Medicine | 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States |
06-Apr-2016 |
1730615873 | MUSTAFA ABDULRAHMAN | Internal Medicine | 909 FROSTWOOD DR STE 1.100,
HOUSTON, TX, United States |
11-May-2017 |
1255465704 | LOUANNE E ABELQUIST | Massage Therapist | 78 ROSEWOOD RD,
ROCKY POINT, NY, United States |
15-Mar-2007 |
1740920354 | TSIANI RICHARD ADOPLEH | Student in an Organized Health Care Education/Training Program | 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States |
31-Mar-2022 |
1831324532 | ADVANCED GASTROENTEROLOGY AND ENDOSCOPY, P.C. | Internal Medicine, Gastroenterology | 70 N COUNTRY RD,
SUITE 201 PORT JEFFERSON, NY, United States |
26-May-2009 |
1780983395 | ADVANCED LAPAROSCOPIC BARIATRIC AND GENERAL SURGERY | Surgery | 625 BELLE TERRE RD,
SUITE 202 PORT JEFFERSON, NY, United States |
22-Mar-2011 |
1063590065 | ADVANCED REHABILITATION MEDICINE PLLC | Physical Medicine & Rehabilitation | 200 BELLE TERRE RD,
SUITE E140 PORT JEFFERSON, NY, United States |
01-Nov-2006 |
1598855058 | ADVANCED REHABILITATION MEDICINE PLLC. | Rehabilitation Practitioner | 200 BELLE TERRE RD,
SUITE E140 PORT JEFFERSON, NY, United States |
13-Oct-2006 |
1982848156 | ASHISH AGARWALA | Surgery | 625 BELLE TERRE RD,
SUITE 202 PORT JEFFERSON, NY, United States |
01-May-2009 |
1316443179 | MATTHEW ALLAN AGEE | Radiology, Diagnostic Radiology | 525 E 68TH ST,
NEW YORK, NY, United States |
02-Apr-2018 |
1659313690 | ARIF AHMAD | Surgery | 625 BELLE TERRE RD,
SUITE 202 PORT JEFFERSON, NY, United States |
12-Jun-2006 |
1043531254 | OMAR SYED AHMAD | Student in an Organized Health Care Education/Training Program | 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States |
22-Jun-2010 |
1306378286 | RAHAT AHMED | Internal Medicine, Endocrinology, Diabetes & Metabolism | 116 SPINDLE RD,
HICKSVILLE, NY, United States |
30-Mar-2017 |
1194285866 | SHAMAYL MUNAF AHMED | Student in an Organized Health Care Education/Training Program | 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States |
20-Mar-2019 |
1386096881 | THERESA AIELLO | Nurse Practitioner, Adult Health | 70 N COUNTRY RD,
PORT JEFFERSON, NY, United States |
07-Jul-2016 |
1285375675 | FAREEHA AJMAL | Student in an Organized Health Care Education/Training Program | 3 DIANE WAY,
LAKE GROVE, NY, United States |
07-Apr-2022 |
1689369175 | INCI AKKAYA | Student in an Organized Health Care Education/Training Program | 1505 W SHERMAN AVE,
VINELAND, NJ, United States |
10-Apr-2023 |
1144962762 | OMER IBRAHIM MAHDI AL NAJAFI | Student in an Organized Health Care Education/Training Program | 75 N COUNTRY RD,
PORT JEFFERSON, NY, United States |
13-Apr-2022 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
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.
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:
|
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:
|