Provider Demographics
NPI:1144342361
Name:TALMER, SAMUEL MEYER (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:MEYER
Last Name:TALMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W CLARKSTON RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-2677
Mailing Address - Country:US
Mailing Address - Phone:248-693-4422
Mailing Address - Fax:248-693-6950
Practice Address - Street 1:400 W CLARKSTON RD
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-2677
Practice Address - Country:US
Practice Address - Phone:248-693-4422
Practice Address - Fax:248-693-6950
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010104931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice