Provider Demographics
NPI:1487783916
Name:RICHARD J SALANDER, D.D.S., INC.
Entity type:Organization
Organization Name:RICHARD J SALANDER, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SALANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-862-2232
Mailing Address - Street 1:19330 W ARTZHEIM LN
Mailing Address - Street 2:PO BOX 46
Mailing Address - City:ELMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43416-9793
Mailing Address - Country:US
Mailing Address - Phone:419-862-3541
Mailing Address - Fax:419-862-2311
Practice Address - Street 1:220 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ELMORE
Practice Address - State:OH
Practice Address - Zip Code:43416-9593
Practice Address - Country:US
Practice Address - Phone:419-862-2232
Practice Address - Fax:419-862-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH129561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty