Provider Demographics
NPI:1326628926
Name:PALMER, SEAN THOMAS (DDS)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:THOMAS
Last Name:PALMER
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 E 125 S
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-3165
Mailing Address - Country:US
Mailing Address - Phone:801-436-7533
Mailing Address - Fax:
Practice Address - Street 1:223 S 700 E STE 3
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2174
Practice Address - Country:US
Practice Address - Phone:180-135-5699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12360036-99261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice