Healthcare Provider Details

I. General information

NPI: 1033467451
Provider Name (Legal Business Name): SAFIYAH J SALIH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 N 1ST ST
FRESNO CA
93726-0903
US

IV. Provider business mailing address

3310 MAGNOLIA ST
ORANGEBURG SC
29115-1466
US

V. Phone/Fax

Practice location:
  • Phone: 866-707-6664
  • Fax:
Mailing address:
  • Phone: 803-531-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number15182
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number104793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: