Active NPI
Huguette Deteau Salahuddin, DDS
- Dentist
- St Petersburg, FL
National Provider Identifier
1881730323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN12488
- Practice address
- 5454 Central Ave
Suite B
St Petersburg, FL 33707 - Phone
- (727) 323-8118
- Fax
- (727) 328-1782
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN12488 | FL | Primary |
Addresses
Primary practice location
5454 Central Ave
Suite B
St Petersburg, FL 33707
Mailing address
1205 48TH Ave W
Palmetto, FL 34221
Phone (941) 729-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN12488 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881730323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 48TH AVE W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "34221",
"telephone_number": "941-729-7337",
"fax_number": "941-723-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 CENTRAL AVE",
"address_2": "SUITE B",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33707",
"telephone_number": "727-323-8118",
"fax_number": "727-328-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETEAU SALAHUDDIN",
"first_name": "HUGUETTE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN12488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.