MEDICARE: SALIB SMILES ORTHODONTICS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1568318319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALIB SMILES ORTHODONTICS

Provider Business Mailing Address
First Line	:	2776 JOHN F KENNEDY BLVD FL 1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2776 JOHN F KENNEDY BLVD FL 1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5508
Country	:	US
Telephone Number	:	908-235-4756
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL EXECUTIVE OFFICER, OWNER
Name	:	DR. REFKA A SALIB
Credential	:	DMD
Telephone Number	:	201-736-0679

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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