JACK L PALUMBO (NPI# 1437202983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437202983 |
Entity Type | Individual |
Full Name | JACK L PALUMBO |
Credential | D.D.S. |
Practice Address |
124 S 2nd St Spring Valley WI 54767 |
Mailing Address |
Po Box 428 Spring Valley WI 54767-0428 |
Practice Telephone | 7157785543 |
Practice Fax Number | 7157785524 |
Enumeration Date | 2007-01-19 |
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 |
5001275 | IL | Dental Providers |
Street Address |
124 S 2ND ST |
City | SPRING VALLEY |
State | WI |
Zip Code | 54767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700068251 | School District of Spring Valley | Local Education Agency (LEA) | S1450 Cty Road Cc, Spring Valley, WI 54767 | 2007-11-27 |
1386772929 | Spring Valley Drug,inc | Pharmacy | 104 S Mckay Ave, Spring Valley, WI 54767 | 2007-03-02 |
1265518385 | Scott Allen Spilde | Chiropractor | S408 Sabin Ave, Spring Valley, WI 54767 | 2006-10-31 |
1417909193 | Spring Valley Area Ambulance Service Inc | Ambulance | S 407 Newman Ave, Spring Valley, WI 54767 | 2006-05-17 |
1902333941 | Spring Valley Dentistry Inc. | Dentist | W124 S 2nd St, Spring Valley, WI 54767 | 2017-05-22 |
1922291442 | Gary B. Lukes | Optometrist | 344 E Eau Galle Rd, Spring Valley, WI 54767 | 2007-08-20 |
1205984986 | Spilde Chiropractic of Elmwood LLC | Chiropractor | S408 Sabin Ave, Spring Valley, WI 54767 | 2007-01-08 |
1356631741 | Midwest Physical Therapy | Voluntary or Charitable | S830 Westland Dr, Suite 103, Spring Valley, WI 54767-8238 | 2011-04-19 |
1548246929 | Spring Valley Health Care Services, Inc. | Clinic/Center | S830 Westland Drive, Spring Valley, WI 54767-8238 | 2005-12-19 |
1982913240 | Valley Villas, LLC | Assisted Living Facility | S820 Westland Dr, Spring Valley, WI 54767-8241 | 2010-10-04 |
Find all providers in zip 54767 |
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 |
---|---|---|---|---|
1861967085 | Dental Art of Ny | Dentist | Dental Art of Ny, 11 Spring Valley Market Place, Spring Valley, NY 10977 | 2018-10-04 |
1780087460 | Curtis Howard | Dentist | 9950 Campo Rd Ste 102, Spring Valley, CA 91977-1629 | 2014-10-08 |
1760810485 | Dr, Vicente G. Casibang, Dds, Inc. | Dentist | 123 Worthington St Ste 101, Spring Valley, CA 91977-6100 | 2013-10-15 |
1700154358 | Robert Kluge | Dentist | 3915 N Bonita St, Spring Valley, CA 91977-1404 | 2011-12-11 |
1992978407 | Fhl Dental Care PC | Dentist | 235 N Main St Ste 6, Spring Valley, NY 10977-4014 | 2008-04-04 |
1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
1669671517 | Alan Frederick Pressman | Dentist | 250 Old Nyack Tpke, Spring Valley, NY 10977-5741 | 2007-07-12 |
1467653881 | Nadav Jacob Praff | Dentist | 193 Route 59, Spring Valley, NY 10977-5201 | 2007-05-31 |
1194939355 | Susan I Holiday | Dentist | 102 Mcnamara Rd, Spring Valley, NY 10977-1406 | 2007-05-09 |
1750504619 | James A Kerr | Dentist | W124 S 2nd St, Spring Valley, WI 54767-8867 | 2007-04-10 |
Find all providers in SPRING VALLEY |
City | SPRING VALLEY |
Zip Code | 54767 |
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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.