Daniel J Palazzolo
Periodontist
4700 Las Vegas Blvd N
Nellis Afb
, Nevada 89191-6600
Daniel J Palazzolo
Periodontist
4700 Las Vegas Blvd N
Nellis Afb
, Nevada 89191-6600
(702) 653-2600
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Daniel J Palazzolo
- 4700 Las Vegas Blvd N
- Nellis Afb, NV
- Zip : 89191-6600
- Phone : (702) 653-2600
Second Address
- Daniel J Palazzolo
- 4700 Las Vegas Blvd N
- Nellis Afb, NV
- Zip : 89191-6600
- Phone : (702) 653-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 2901018618 | MI |
National Provider Identifier
| NPI | 1093780587 |
|---|---|
| Provider Name | Daniel J Palazzolo |
| First Address | Nellis Afb, NV 89191-6600 |
| Second Address | Nellis Afb, NV 89191-6600 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2006 |
| Last Update Date | 27/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.