Dale Graham Salatich
Facial Plastic Surgeon
745 N Magnolia Ave. Suite 201
Orlando
, Florida 32803-3835
Dale Graham Salatich
Facial Plastic Surgeon
745 N Magnolia Ave. Suite 201
Orlando
, Florida 32803-3835
(407) 299-7333
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dale Graham Salatich
- 745 N Magnolia Ave. Suite 201
- Orlando, FL
- Zip : 32803-3835
- Phone : (407) 299-7333
Second Address
- Dale Graham Salatich
- 745 N Magnolia Ave. Suite 201
- Orlando, FL
- Zip : 32803-3835
- Phone : (407) 299-7333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | ME53091 | FL |
National Provider Identifier
| NPI | 1689677965 |
|---|---|
| Provider Name | Dale Graham Salatich |
| First Address | Orlando, FL 32803-3835 |
| Second Address | Orlando, FL 32803-3835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 20/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 049534400 | (05) | FL |
| 05974 | BLUE CROSS BLUE SHIELD (01) | FL |
| 4071383 | AETNA PROVIDER ID (01) | FL |
| 623763 | AENTA PROVIDER ID (01) | FL |
| B63895 | (02) | FL |
| FEIN | 593490701 (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.