Salazar Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SALAZAR DENTAL GROUP LLC

Practice address

6779 Great Oaks Rd
Suite 201
Memphis, TN 38138

Phone

(901) 753-0404

Fax

(901) 759-7931

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jose Luis Salazar, DDS

Title

Co Owner

Phone

(901) 753-0404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487713434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6779 GREAT OAKS RD",
            "address_2": "SUITE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-753-0404",
            "fax_number": "901-759-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6779 GREAT OAKS RD",
            "address_2": "SUITE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-753-0404",
            "fax_number": "901-759-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAZAR DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "901-753-0404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Francis Surgery Center, LLC
• Saniya Sajwani, MOT, OTR/L
• Rishika Prakash Sakaria, MBBS
• Kenneth Sakauye, MD
• Roa Salah
• Holger P Salazar, MD
• Jorge A Salazar, MD
• Jorge E. Salazar, MD
• Jose Luis Salazar, DDS
• Juan Carlos Salazar, DDS

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.