Provider Demographics
NPI:1518012665
Name:SALISBURY, PAUL LEE III (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LEE
Last Name:SALISBURY
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1551 WESTBROOK PLAZA DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1355
Mailing Address - Country:US
Mailing Address - Phone:336-765-0904
Mailing Address - Fax:336-765-3422
Practice Address - Street 1:1551 WESTBROOK PLAZA DR
Practice Address - Street 2:SUITE 203
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1355
Practice Address - Country:US
Practice Address - Phone:336-765-0904
Practice Address - Fax:336-765-3422
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC43991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice