Provider Demographics
NPI:1730263567
Name:PALMER, OLIVIA CALHOUN (DMD)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:CALHOUN
Last Name:PALMER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8694 GLASCOW ISLAND LN
Mailing Address - Street 2:
Mailing Address - City:EDISTO ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29438-6314
Mailing Address - Country:US
Mailing Address - Phone:843-577-2727
Mailing Address - Fax:843-577-8810
Practice Address - Street 1:545 PARKWOOD ESTATES DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7712
Practice Address - Country:US
Practice Address - Phone:843-577-2727
Practice Address - Fax:843-577-8810
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC 25101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice