MEDICARE: DR. KIM ARLEN SALGAT D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	015061	MI

General Provider Information

NPI Number	:	1427174168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIM ARLEN SALGAT D.D.S.

Provider Business Mailing Address
First Line	:	4463 CASTLEWOOD CT
Second Line	:
City	:	HOUGHTON LAKE
State	:	MI
Zip	:	48629-9024
Country	:	US
Telephone Number	:	989-366-8708
Fax Number	:

Provider Business Practice Location Address
First Line	:	4028 STATE ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-4070
Country	:	US
Telephone Number	:	989-793-6144
Fax Number	:	989-793-6153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/20/2020

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