Provider Demographics
NPI:1710067699
Name:SALVATO, ANTHONY R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:R
Last Name:SALVATO
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 1:488 HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-3114
Mailing Address - Country:US
Mailing Address - Phone:203-924-8069
Mailing Address - Fax:
Practice Address - Street 1:488 HOWE AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-3114
Practice Address - Country:US
Practice Address - Phone:203-924-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0037691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice