# SALEM DENTAL-MT GILEAD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205716057
- **Authorized official:** ALA-EL-DEAN SAMI SALEM DDS (DOCTOR/OWNER)
- **Authorized official phone:** (440) 319-9024

## Contact information

- **Practice address:** 889 MEADOW DR, MOUNT GILEAD, OH 43338-1069
- **Practice address phone:** (419) 947-9547
- **Mailing address:** 889 MEADOW DR, MOUNT GILEAD, OH 43338-1069
- **Mailing address phone:** (419) 947-9547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025