Daniel Allen Saale, D.D.S.

Individual provider Active NPI General Practice Dentistry · Reynoldsburg, OH

NPI 1497734974 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497734974
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
19154 (OH)
Practice address
6810 E Main St
Reynoldsburg, OH 43068-2268
Phone
(614) 866-6338
Fax
(614) 575-9514
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160404001664 OH Order and Referring Only - Dentist
Practitioner - Dentist
7416254529

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
19154OHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19154 OH Yes

Addresses

Primary practice location

6810 E Main St
Reynoldsburg, OH 43068-2268

Mailing address

2578 Sherwood Rd
Columbus, OH 43209-2154
Phone (614) 235-1611

Other providers in Reynoldsburg, OH

All providers in Reynoldsburg, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.