Michael Everette Salley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2887 Issued in SC

Practice address

924 Bennett St
Orangeburg, SC 29115-4214

Phone

(803) 534-2931

Fax

(803) 534-3124

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497887491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BENNETT ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154214",
            "telephone_number": "803-534-2931",
            "fax_number": "803-534-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BENNETT ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154214",
            "telephone_number": "803-534-2931",
            "fax_number": "803-534-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "MICHAEL",
        "middle_name": "EVERETTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S.C. Department of Health and Environmental Control
• S.C. State University
• Safiyah J Salih, DDS
• Jodi Salley, SLP
• Lawton Haris Salley, MD
• Pamela Salters, MA COUNSELING
• John Hunter Samies, MD
• Samuel L. Lambrecht DMD LLC
• Brittany Sanders
• Clifford Preston Sanders III

• General Practice Dentistry in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.