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General NPI Number Information
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NPI Number | 1477160661
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Entity Type | Organization
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Legal Business Name | ANTHONY SALEM D.D.S. INC.
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 3045 SMITH RD STE 100
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City | FAIRLAWN
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State | OH
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Zip | 44333-4449
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Country | US
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Telephone | 330-668-1165
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Fax | 330-668-1169
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Provider Business Mailing Address
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Address Line | 3045 SMITH RD STE 100
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City | FAIRLAWN
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State | OH
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Zip | 44333-4449
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Country | US
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Telephone | 330-668-1165
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Fax | 330-668-1165
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY MICHAEL SALEM
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Credential | DDS
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Telephone | 330-620-3637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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