MEDICARE: DR. JOEL MARC SALON DDS,MD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	30-01-5247	OH
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	35-04-7600-S	OH

General Provider Information

NPI Number	:	1700880275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL MARC SALON DDS,MD

Provider Business Mailing Address
First Line	:	34501 AURORA RD
Second Line	:	STE 301
City	:	SOLON
State	:	OH
Zip	:	44139-3831
Country	:	US
Telephone Number	:	440-248-9097
Fax Number	:	440-248-9099

Provider Business Practice Location Address
First Line	:	34501 AURORA RD
Second Line	:	STE 301
City	:	SOLON
State	:	OH
Zip	:	44139-3831
Country	:	US
Telephone Number	:	440-248-9097
Fax Number	:	440-248-9099

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/11/2025

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