Healthcare Provider Details

I. General information

NPI: 1588432405
Provider Name (Legal Business Name): DR. YOUSEF SALEM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1286 E WEST HWY
SILVER SPRING MD
20910-3242
US

IV. Provider business mailing address

1260 21ST ST NW APT 309
WASHINGTON DC
20036-7310
US

V. Phone/Fax

Practice location:
  • Phone: 301-761-4489
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18778
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: