Provider Demographics
NPI:1174767263
Name:DENNIS SALAPACK DDS INC.
Entity type:Organization
Organization Name:DENNIS SALAPACK DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAPACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-499-6300
Mailing Address - Street 1:7065 WALES AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6334
Mailing Address - Country:US
Mailing Address - Phone:330-449-6300
Mailing Address - Fax:
Practice Address - Street 1:7065 WALES AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6334
Practice Address - Country:US
Practice Address - Phone:330-449-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14466261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental