PALM TREE LLC NPI 1376420083

NPI Information

  • NPI: 1376420083
  • Provider Name: PALM TREE LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 144 KAYEN CHANDO STE 101
    DEDEDO, GU
    ZIP 96929
  • Phone: (671) 637-4867

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NPI Details

PALM TREE LLC is a dental clinic center in Dededo, GU. PALM TREE LLC NPI is 1376420083. The provider is registered as an organization entity type.

The provider's business location address is:

144 KAYEN CHANDO STE 101
DEDEDO, GU
ZIP 96929-906
Phone: (671) 637-4867

The provider's authorized official is Elias Abulencia .
The authorized official title is General Manager and has the following contact phone number (671) 788-1706.

The enumeration date for this NPI number is 8/18/2025 and was last updated on 8/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184990905MEDICAIDGUAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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