MEDICARE: DR. SHELDON KELVIN SALINS 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	55603	CA

General Provider Information

NPI Number	:	1467667436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELDON KELVIN SALINS DMD

Provider Business Mailing Address
First Line	:	1405 HUNTINGTON AVE
Second Line	:	SUITE 300
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5988
Country	:	US
Telephone Number	:	650-952-1010
Fax Number	:	650-952-3760

Provider Business Practice Location Address
First Line	:	1405 HUNTINGTON AVE
Second Line	:	SUITE 300
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-5988
Country	:	US
Telephone Number	:	650-952-1010
Fax Number	:	650-952-3760

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

Provider Enumeration Date	:	05/13/2007
Last Update Date	:	11/05/2008

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