Provider Demographics
NPI:1609971332
Name:SALCETTI, MARY ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY ANNE
Middle Name:
Last Name:SALCETTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4905
Mailing Address - Country:US
Mailing Address - Phone:845-298-8138
Mailing Address - Fax:845-297-4349
Practice Address - Street 1:1136 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4905
Practice Address - Country:US
Practice Address - Phone:845-298-8138
Practice Address - Fax:845-297-4349
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0381971223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics