MEDICARE: DR. THOMAS N SALMON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN9393	FL

General Provider Information

NPI Number	:	1184713695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS N SALMON DDS

Provider Business Mailing Address
First Line	:	1573 W FAIRBANKS AVE
Second Line	:	SUITE 300
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-644-0224
Fax Number	:	407-644-2827

Provider Business Practice Location Address
First Line	:	1573 W FAIRBANKS AVE
Second Line	:	300
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-644-0224
Fax Number	:	407-644-2827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/13/2010

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