# SALKELD FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1891120382
- **Authorized official:** STEVEN CHARLES SALKELD DDS (OWNER)
- **Authorized official phone:** (260) 637-4648

## Contact information

- **Practice address:** 12962 COLDWATER RD, FORT WAYNE, IN 46845-9517
- **Practice address phone:** (260) 637-4648
- **Mailing address:** 12962 COLDWATER RD, FORT WAYNE, IN 46845-9517
- **Mailing address phone:** (260) 637-4648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009491A | IN | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/23/2020
