Provider Demographics
NPI:1770099442
Name:SALINAS, ISAAC ENRIQUE (DMD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:ENRIQUE
Last Name:SALINAS
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 1:3421 DELAMERE DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-6866
Mailing Address - Country:US
Mailing Address - Phone:630-532-1777
Mailing Address - Fax:
Practice Address - Street 1:1307 E FRANKLIN ST STE C
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5159
Practice Address - Country:US
Practice Address - Phone:704-635-8302
Practice Address - Fax:704-635-8303
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC108571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice