Provider Demographics
NPI:1770760266
Name:SALMON, GEORGIA ANNMARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGIA
Middle Name:ANNMARIE
Last Name:SALMON
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 1:225 S CONGRESS AVE
Mailing Address - Street 2:SOUTHEAST COUNTY HEALTH CENTER , DELRAY DENTAL CLINIC
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4616
Mailing Address - Country:US
Mailing Address - Phone:561-274-3111
Mailing Address - Fax:
Practice Address - Street 1:225 S CONGRESS AVE
Practice Address - Street 2:SOUTHEAST COUNTY HEALTH CENTER , DELRAY DENTAL CLINIC
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4616
Practice Address - Country:US
Practice Address - Phone:561-274-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0013248122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist