Salt Dental DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SALT DENTAL DMD LLC

Practice address

4300 Talbot Rd S Ste 105
Renton, WA 98055-6238

Phone

(360) 547-3687

Fax

(206) 703-2817

NPI assigned

May 10, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cam-Tu Vo, DMD

Title

Dentist

Phone

(360) 547-3687

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1083304455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "206-395-4748",
            "fax_number": "206-703-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "360-547-3687",
            "fax_number": "206-703-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT DENTAL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "CAM-TU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-547-3687",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos E Salazar, DDS
• Justin Salazar
• Christina Salguero
• Saul Salido
• Ryan D Salinas, MD
• Sanita L Salter, M.S.,
• Hamzeh Salti
• Sam D.K. Kim, DMD, PLLC
• Vandita S Samavedi, MD
• Kelsey I Samuels, LMP

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.