NPIMap

Organization Active NPI

Patricia Ann Deloach Salter, DMD, PC

  • General Practice Dentistry
  • Lagrange, GA
National Provider Identifier
1154487577
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10421 Issued in GA
Legal business name
PATRICIA ANN DELOACH SALTER, DMD, PC
Practice address
1423 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone
(706) 884-2457
Fax
(706) 845-9786
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Patricia Ann Salter, DMDNPI 1376609784
Title
President
Phone
(706) 884-2457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10421 GA Primary

Addresses

Primary practice location

1423 Lafayette Pkwy
Lagrange, GA 30241-2552

Mailing address

1423 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone (706) 884-2457

National Provider Directory

National Provider Directory

Locations

1423 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 298-8858

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1154487577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412552",
            "telephone_number": "706-884-2457",
            "fax_number": "706-845-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 LAFAYETTE PKWY",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412552",
            "telephone_number": "706-884-2457",
            "fax_number": "706-845-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA ANN DELOACH SALTER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-884-2457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.