DALE GRAHAM SALATICH MD NPI 1689677965

NPI Information

NPI: 1689677965
Provider Name: DALE GRAHAM SALATICH, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
745 N MAGNOLIA AVE.
SUITE 201
ORLANDO, FL
ZIP 32803
Phone: (407) 299-7333
Get Directions

Dale Graham Salatich, MD is a facial plastic surgery otolaryngology in Orlando, FL with 41 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Dale Graham Salatich, MD NPI is 1689677965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1983

The provider's business location address is:

745 N MAGNOLIA AVE.
SUITE 201
ORLANDO, FL
ZIP 32803-835
Phone: (407) 299-7333

The NPI 1689677965 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), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/20/2013.

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	207YS0123X	Otolaryngology	Facial Plastic Surgery	ME53091	FLORIDA	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	05974	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	05974	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	B63895	MEDICARE UPIN	FLORIDA
4	4071383	OTHER	FLORIDA	AETNA PROVIDER ID
5	623763	OTHER	FLORIDA	AENTA PROVIDER ID
6	FEIN	OTHER	FLORIDA	593490701
7	049534400	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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