Provider Demographics
NPI:1184718322
Name:SALAMY, NICOLE Y (DMD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:Y
Last Name:SALAMY
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:PO BOX 1658
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-0658
Mailing Address - Country:US
Mailing Address - Phone:508-699-2991
Mailing Address - Fax:508-699-5692
Practice Address - Street 1:111 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2155
Practice Address - Country:US
Practice Address - Phone:508-699-2991
Practice Address - Fax:508-699-2984
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20149122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist