Provider Demographics
NPI:1871222331
Name:SALGADO SALGADO, KATERINE (DMD)
Entity Type:Individual
Prefix:
First Name:KATERINE
Middle Name:
Last Name:SALGADO SALGADO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3386 CHRYSLER DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-5466
Mailing Address - Country:US
Mailing Address - Phone:602-783-0242
Mailing Address - Fax:
Practice Address - Street 1:9119 MERRILL RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-4312
Practice Address - Country:US
Practice Address - Phone:904-479-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN26896122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist