Healthcare Provider Details

I. General information

NPI: 1558280016
Provider Name (Legal Business Name): SANDRA SALIB DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 W NORTHFIELD BLVD
MURFREESBORO TN
37129-1427
US

IV. Provider business mailing address

4438 JACK FAULK ST
MURFREESBORO TN
37127-2400
US

V. Phone/Fax

Practice location:
  • Phone: 615-895-3232
  • Fax:
Mailing address:
  • Phone: 615-507-4379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13267
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: