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DR. CARL PETER PALMBLAD DDS
NPI 1407858517
Dentist - General Practice in Port Jefferson, NY

Active since June 01, 2005
14 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-0052(631) 474-9066 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Carl Peter Palmblad Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL PETER PALMBLAD DDS (NPI 1407858517) is an individual general practice provider in Port Jefferson, New York, licensed in New York (041184) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1407858517
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARL PETER PALMBLADCredential: DDS
Location Address14 N COUNTRY RDPort Jefferson, NY 11777-2116
Mailing Address14 N Country RdPort Jefferson, NY 11777-2116 · (631) 473-0052 · Fax (631) 474-9066
Phone(631) 473-0052
Fax(631) 474-9066
Sole ProprietorYes
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1407858517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 041184
Definition

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.

14 N COUNTRY RD, Port Jefferson, NY 11777
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Other Identifiers 1

Medicaid01043241NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Palmblad's NPI number?

The NPI number for Carl Palmblad is 1407858517. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Carl Palmblad located?

Carl Palmblad practices at 14 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-0052.

What is Carl Palmblad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Carl Palmblad was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.