DR. MITCHELL JOHN PALMER DMD
NPI 1720764764
Dentist - General Practice in Saint Louis, MO

Active since June 26, 2023
4016 LEMAY FERRY RD, SAINT LOUIS, MO 63129(314) 627-0209 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2023, Jul 5, 2023 (2 updates tracked since 2023).

About Dr. Mitchell John Palmer Dmd NPPES

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

DR. MITCHELL JOHN PALMER DMD (NPI 1720764764) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2023026503) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1720764764
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MITCHELL JOHN PALMERCredential: DMD
Location Address4016 LEMAY FERRY RDSaint Louis, MO 63129-1858
Mailing Address4016 Lemay Ferry RdSaint Louis, MO 63129-1858 · (314) 627-0209
Sole ProprietorNo
Enumeration DateJune 26, 2023
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1720764764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MO · 2023026503 Licensed in IL · 019034408
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.

4016 LEMAY FERRY RD, Saint Louis, MO 63129

Accepted Insurance

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720764764, enumerated as an "individual" on June 26, 2023.

The provider is located at 4016 LEMAY FERRY RD SAINT LOUIS, MO 63129 and the phone number is (314) 627-0209.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.