Provider Demographics
NPI:1366918211
Name:ERIK PALMBERG DDS PLLC
Entity type:Organization
Organization Name:ERIK PALMBERG DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-741-4600
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:80120-4479
Practice Address - Country:US
Practice Address - Phone:303-741-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty