Provider Demographics
NPI:1073726170
Name:SALTER, ROSALYN J (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROSALYN
Middle Name:J
Last Name:SALTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3987
Mailing Address - Country:US
Mailing Address - Phone:251-634-0242
Mailing Address - Fax:251-634-0546
Practice Address - Street 1:1605 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3987
Practice Address - Country:US
Practice Address - Phone:251-634-0242
Practice Address - Fax:251-634-0546
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics