Provider Demographics
NPI:1568278810
Name:SALMON FAMILY DENTISTRY, LLC
Entity type:Organization
Organization Name:SALMON FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-249-2211
Mailing Address - Street 1:495 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-1916
Mailing Address - Country:US
Mailing Address - Phone:256-249-2211
Mailing Address - Fax:256-249-3719
Practice Address - Street 1:495 W 3RD ST
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-1916
Practice Address - Country:US
Practice Address - Phone:256-249-2211
Practice Address - Fax:256-249-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty