Provider Demographics
NPI:1588344287
Name:SALEM, ALA-EL-DEAN SAMI
Entity type:Individual
Prefix:DR
First Name:ALA-EL-DEAN
Middle Name:SAMI
Last Name:SALEM
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DEAN
Other - Middle Name:
Other - Last Name:SALEM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:31216 E CHURCHILL LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3791
Mailing Address - Country:US
Mailing Address - Phone:440-319-9024
Mailing Address - Fax:
Practice Address - Street 1:8301 W RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5524
Practice Address - Country:US
Practice Address - Phone:216-642-6291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH30.027332122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program