DR. ROBERT A. PALMER JR. (NPI# 1316163686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316163686 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A. PALMER JR. |
| Credential | D.D.S. |
| Practice Address |
6150 Line Ave Shreveport LA 71106-2051 |
| Practice Telephone | 3188685726 |
| Practice Fax Number | 3188687546 |
| Mailing Telephone | 3188685726 |
| Mailing Fax Number | 3188687546 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3997 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | UNITED CONCORDIA | 192707 | 01 |
| LA | BLUE CROSS BLUE SHIELD | D1259 | 01 |
| LA | 1839973 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922243955 | Robert Verdell Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Edmonds Ct, Columbia, MO 65203-8465 | 2008-12-04 |
| 1841493673 | Robert Clair Palmer | Dentist | 183 North Main, Clearfield, UT 84015 | 2007-06-08 |
| 1427185552 | Robert Lee Palmer | Dentist | 209 Geri Lane, Richmond, KY 40475-2303 | 2007-02-27 |
| 1376101287 | Robert Fount Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-06-05 |
| 1629458971 | Robert Palmer | Speech-Language Pathologist | 3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 | 2015-06-02 |
| 1043639800 | Robert Carlton Palmer | Orthopaedic Surgery | 503 Bowman Gray Dr, Greenville, NC 27834-7286 | 2014-04-09 |
| 1174890859 | Robert Carl Palmer | Pharmacist | 920 N Main St, O Fallon, MO 63366-1746 | 2011-11-22 |
| 1699090241 | Robert R Palmer Jr. | Pharmacist | 14402 Fm 2100 Rd, Crosby, TX 77532-6570 | 2010-04-06 |
| 1346478807 | Robert Leldon Palmer | Otolaryngology | 6800 West Loop S, Suite 350, Bellaire, TX 77401-4528 | 2009-06-23 |
| 1528223435 | Robert Scott Palmer | Dentist | 223 S 700 E, Ste 3, Salt Lake City, UT 84102-2171 | 2008-07-21 |
| Street Address |
6150 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094789 | Palmer and Obrien Family Dentistry, LLC | Dentist | 6150 Line Ave, Shreveport, LA 71106-2051 | 2019-10-09 |
| 1932557501 | Jake Obrien | Dentist | 6150 Line Ave, Shreveport, LA 71106-2051 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385899 | Scruggs Dental LLC | Dentist | 2001 E. 70th Street, Suite 105, Shreveport, LA 71005 | 2018-11-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1003310053 | Erin O'neal | Dentist | 7030 Youree Dr Ste B, Shreveport, LA 71105-5109 | 2018-03-22 |
| 1487166450 | Emile T. Geneux IIdds, Benjamin A. Beach Dds, and Ross H. Dies Dds, Ll | Dentist | 2533 Bert Koun Loop Ste 107, Shreveport, LA 71118-3158 | 2017-10-31 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1720447147 | Dr. Monica A. Davenport, Dds Apc | Dentist | 1850 Martin Luther King Dr., Shreveport, LA 71107-5020 | 2016-02-12 |
| 1366822710 | A Brighter Smile | Dentist | 385 Bert Kouns Loop, Suite 700, Shreveport, LA 71106-8158 | 2015-06-01 |
| 1104250364 | Witte Family Dentistry, LLC | Dentist | 137 E Kings Hwy, Shreveport, LA 71104-3404 | 2013-08-23 |
| 1063792752 | Ivy Dental | Dentist | 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106-7238 | 2011-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.