Provider Demographics
NPI:1427174168
Name:SALGAT, KIM ARLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:ARLEN
Last Name:SALGAT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4463 CASTLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48629-9024
Mailing Address - Country:US
Mailing Address - Phone:989-366-8708
Mailing Address - Fax:
Practice Address - Street 1:4028 STATE ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-4070
Practice Address - Country:US
Practice Address - Phone:989-793-6144
Practice Address - Fax:989-793-6153
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0150611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice