Individual provider Active NPI

Marc Henry Salah, DDS

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1710192562
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018508 Issued in MI
Practice address
42180 Ford Rd
Suite 301
Canton, MI 48187-3673
Phone
(734) 981-1199
Fax
(734) 981-1544
NPI assigned
May 14, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018508 MI Primary

Addresses

Primary practice location

42180 Ford Rd
Suite 301
Canton, MI 48187-3673

Mailing address

29080 Forest Hill Dr
Farmington Hills, MI 48331-2444
Phone (248) 417-9955

Other identifiers 1

IdentifierTypeStateIssuer
4802052MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170208001917 MI Practitioner - Oral SurgeryPractitioner - Dentist 3678702198 Reassigns benefits to 1 organization
I20251212001200 FL Practitioner - Oral Surgery 3678702198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
University of Detroit Mercy School of Dentistry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42180 Ford Rd
Suite 301
Canton, MI 48187-3677
Phone (734) 259-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2901018508MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All About Sleep LLC General Practice CurrentSince Nov 19, 2013 Accepting new patients
All About Smiles Tampa PC General Practice CurrentSince Sep 1, 2025 Accepting new patients
William J Geyer DDS, PA General Practice Past Accepting new patients

Locations

148 Whitaker Rd
Lutz, FL 33549
Phone (813) 949-3211

42180 Ford Rd
Ste 301
Canton, MI 48187
Phone (734) 259-6633

25631 Gratiot Ave
Roseville, MI 48066
Phone (586) 775-3312

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710192562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29080 FOREST HILL DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312444",
            "telephone_number": "248-417-9955",
            "fax_number": "248-324-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42180 FORD RD",
            "address_2": "SUITE 301",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873673",
            "telephone_number": "734-981-1199",
            "fax_number": "734-981-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAH",
        "first_name": "MARC",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4802052",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.