Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitchell John Palmer, DMD

Individual provider General Practice Dentistry · NPI 1720764764

Dr. Mitchell John Palmer, DMD is a General Practice Dentistry in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2023.

Licensed in
IL, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4016 Lemay Ferry Rd
Saint Louis, MO 63129-1858
Phone: (314) 627-0209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2023026503 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019034408 (IL)

Record details

NPI number1720764764
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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