Provider Demographics
NPI:1033131214
Name:SALAPACK, DENNIS ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ROBERT
Last Name:SALAPACK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:ROBERT
Other - Last Name:SALAPACK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7065 WALES AVE. NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720
Mailing Address - Country:US
Mailing Address - Phone:330-499-6300
Mailing Address - Fax:330-499-6302
Practice Address - Street 1:7065 WALES AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-5306
Practice Address - Country:US
Practice Address - Phone:330-499-6300
Practice Address - Fax:330-499-6302
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14466261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental