Healthcare Provider Details

I. General information

NPI: 1073217311
Provider Name (Legal Business Name): ALEJANDRO SALCEDO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 E 35TH ST STE 1
NEW YORK NY
10016-3892
US

IV. Provider business mailing address

132 E 35TH ST STE 1
NEW YORK NY
10016-3892
US

V. Phone/Fax

Practice location:
  • Phone: 212-736-3676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number065156-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: