Active NPI
Marc Henry Salah, DDS
- General Practice Dentistry
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901018508
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4802052 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018508 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Sleep LLC | General Practice | Current | Accepting new patients |
| All About Smiles Tampa PC | General Practice | Current | 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.
-
- General Practice Dentistry
- Canton, MI
- NPI 1265853261
-
- General Practice Dentistry
- Lutz, FL
- NPI 1326925512
-
- Public Health Dentistry
- Canton, MI
- NPI 1942711601
-
- Public Health Dentistry
- Canton, MI
- NPI 1033620703
-
- Public Health Dentistry
- Roseville, MI
- NPI 1366987638
-
- Public Health Dentistry
- Canton, MI
- NPI 1588175251
-
- General Practice Dentistry
- Lutz, FL
- NPI 1093924599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.