Provider Demographics
NPI:1467831370
Name:NAHON, SALOMON MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:SALOMON
Middle Name:MICHAEL
Last Name:NAHON
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 1:14050 SW 84TH ST
Mailing Address - Street 2:SUITE #103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4440
Mailing Address - Country:US
Mailing Address - Phone:305-383-9944
Mailing Address - Fax:305-383-9004
Practice Address - Street 1:14050 SW 84TH ST
Practice Address - Street 2:SUITE #103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4440
Practice Address - Country:US
Practice Address - Phone:305-383-9944
Practice Address - Fax:305-383-9004
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN211751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice