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Deactivated NPI 1346567062 Deactivated / Inactive NPI Male Practitioner

Robert D Palermo , LD

Denturist • Kennebunk, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Palermo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2010
NPI Deactivation Date June 07, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Robert Palermo, LD was a registered Denturist practicing in Kennebunk, ME. Throughout an active medical career spanning 13 years, Robert Palermo provided care at the practice location at 54 YORK ST until profile deactivation on 2023-06-07.

Practice Location & Contact Primary Location

Practice Address

54 York St

Kennebunk, ME 040437157

Telephone 2079850210
Fax 2079858068
Associated Practice Facility / Clinic
🏢 Gryskwicz Llc Facility NPI 1912456401

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Kennebunk, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Kennebunk, ME (40 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License ME 5013

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1780001735

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

NPI Profile Active April 21, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 21, 2010

Registered at 54 YORK ST, KENNEBUNK, ME 040437157 (Tel: 2079850210)

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Updated Business Mailing Address April 21, 2010

Registered at 54 YORK ST, KENNEBUNK, ME 040437157 (Tel: 2079850210)

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Provider Name / Credentials Updated April 21, 2010

Recorded as ROBERT PALERMO, LD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2010

Denturist (License #5013 in ME)

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Initial NPI Registration & Enumeration April 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346567062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2010
Last Update: April 21, 2010
Deactivation Date: June 07, 2023

Mailing Address

54 York St

Kennebunk, ME 040437157

Phone: 2079850210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.