Provider Demographics
NPI:1932204732
Name:SALYER, RICHARD HANK (DMD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HANK
Last Name:SALYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 PINE GROVE RD STE C
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8004
Mailing Address - Country:US
Mailing Address - Phone:970-879-7976
Mailing Address - Fax:
Practice Address - Street 1:1560 PINE GROVE RD STE C
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8004
Practice Address - Country:US
Practice Address - Phone:970-879-7976
Practice Address - Fax:970-879-6710
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO75351223P0221X
KY71261223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1500OtherBLUE CROSS/BLUE SHIELD#
KY60071263Medicaid
KY61901088Medicaid
KY61901211Medicaid
KY7126OtherDELTA DENTAL#