LISA GABRIELLE SALLOUM D.D.S. NPI 1588809206

NPI Information

Lisa Gabrielle Salloum, D.D.S. is a periodontics dentist in Jacksonville, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Lisa Gabrielle Salloum, D.D.S. NPI is 1588809206. 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:

9000 GOLFSIDE DR
SUITE A
JACKSONVILLE, FL
ZIP 32256-793
Phone: (904) 737-8410
Fax: (904) 367-1739

The enumeration date for this NPI number is 12/9/2008 and was last updated on 12/9/2008.

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:

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