Fouad Saad El-Din Haky Salama, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104 Issued in NE

Practice address

808 S 5TH Ave
Denton, MD 21629-1398

Phone

(410) 479-2650

Fax

(833) 916-1012

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1699818450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S 5TH AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291398",
            "telephone_number": "410-479-2650",
            "fax_number": "833-916-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S 5TH AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291398",
            "telephone_number": "410-479-2650",
            "fax_number": "833-916-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "FOUAD",
        "middle_name": "SAAD EL-DIN HAKY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0576249",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078998513",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4678",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Jane Richmond Mullaney, SLP
• Oluwaseun Oluwadamilola Ross, NP
• Holly Ruskauff, SLPA
• Ruxton Health Care IV, LLC (Ruxton Health of Denton)
• Phyllis Saathoff, LCSW C
• Hatem Salim, DDS
• Medha Satyarengga, M.D.
• Hannah Saulsbury, RDH
• Kimberly Schall, PT
• Zachary Jonas Schall, DPT

• Pediatric Dentistry in Denton, MD
• Providers in Denton, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.