Provider Demographics
NPI:1013180751
Name:LOMBARDI, SALVATORE ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:ANTHONY
Last Name:LOMBARDI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26700 TOWNE CENTRE DR
Mailing Address - Street 2:#200
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2844
Mailing Address - Country:US
Mailing Address - Phone:949-830-3511
Mailing Address - Fax:949-830-0997
Practice Address - Street 1:26700 TOWNE CENTRE DR
Practice Address - Street 2:#200
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610-2844
Practice Address - Country:US
Practice Address - Phone:949-830-3511
Practice Address - Fax:949-830-0997
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2018-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice