Provider Demographics
NPI:1144233578
Name:SALAMONE, CESAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:
Last Name:SALAMONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 CARROLLWOOD VILLAGE CV
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-8604
Mailing Address - Country:US
Mailing Address - Phone:813-963-1716
Mailing Address - Fax:813-963-1716
Practice Address - Street 1:2203 N LOIS AVE STE G600
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-7108
Practice Address - Country:US
Practice Address - Phone:813-871-5969
Practice Address - Fax:813-871-5979
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN166011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice