Healthcare Provider Details

I. General information

NPI: 1821034588
Provider Name (Legal Business Name): NAJEED SALEH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S 40TH ST
PHILADELPHIA PA
19104-6030
US

IV. Provider business mailing address

240 S 40TH ST
PHILADELPHIA PA
19104-6030
US

V. Phone/Fax

Practice location:
  • Phone: 215-746-4675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDS-028981-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: