MEDICARE: JULIO SALAS DMD

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	122300000X	Dentist	DN24341	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427619253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO SALAS DMD

Provider Business Mailing Address
First Line	:	2900 S UNIVERSITY DR APT 9107
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-1409
Country	:	US
Telephone Number	:	786-223-9715
Fax Number	:

Provider Business Practice Location Address
First Line	:	BCFHC DENTAL OFFICE
Second Line	:	162 NORTH POWERLINE ROAD
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5171
Country	:	US
Telephone Number	:	954-970-7067
Fax Number	:	954-971-5171

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	02/09/2024

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