Healthcare Provider Details

I. General information

NPI: 1497331607
Provider Name (Legal Business Name): GIANY SALINAS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 09/01/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 TUSKEGEE ST
DOVER AFB DE
07087
US

IV. Provider business mailing address

304 TUSKEGEE ST
DOVER AFB DE
19902
US

V. Phone/Fax

Practice location:
  • Phone: 302-677-2236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02884800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: