Provider Demographics
NPI:1174611404
Name:PALERMO, JOSEPH F (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:PALERMO
Suffix:
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 1:1500 HORIZON DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3966
Mailing Address - Country:US
Mailing Address - Phone:215-997-9888
Mailing Address - Fax:215-997-9890
Practice Address - Street 1:1500 HORIZON DR
Practice Address - Street 2:SUITE 112
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3966
Practice Address - Country:US
Practice Address - Phone:215-997-9888
Practice Address - Fax:215-997-9890
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028445L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics