Provider Demographics
NPI:1629532924
Name:SALMAN, SULIMAN MOHAMMED (DMD, MS)
Entity Type:Individual
Prefix:
First Name:SULIMAN
Middle Name:MOHAMMED
Last Name:SALMAN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 W 135TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-2892
Mailing Address - Country:US
Mailing Address - Phone:315-723-7173
Mailing Address - Fax:
Practice Address - Street 1:1300 S CAGE BLVD STE K
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6352
Practice Address - Country:US
Practice Address - Phone:956-413-7540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34778122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist