SALAM ALSADIQ BDS NPI 1487043618

NPI Information

NPI: 1487043618
Provider Name: SALAM ALSADIQ, BDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
29777 TELEGRAPH RD STE 3000
SOUTHFIELD, MI
ZIP 48034
Phone: (313) 647-7398
Get Directions

Salam Alsadiq, BDS is a pediatric dentistry dentist in Southfield, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Salam Alsadiq, BDS NPI is 1487043618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

29777 TELEGRAPH RD STE 3000
SOUTHFIELD, MI
ZIP 48034-634
Phone: (313) 647-7398

The NPI 1487043618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/12/2015 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DL13738	MASSACHUSETTS	No
2	1223P0221X	Dentist	Pediatric Dentistry	DL13958	MASSACHUSETTS	No
3	1223P0221X	Dentist	Pediatric Dentistry	2901600775	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S91870275	OTHER	MASSACHUSETTS	MA DRIVER'S LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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