Individual provider · Type 1 NPI

Yanisa Alexandra Stuart Salas

General Practice Dentistry · Moody Afb, GA

NPI number 1316647100 Active

Practice location

3280 Mitchell Blvd
Moody Afb, GA 31699-1500

Call (229) 257-2778 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X37838587 (FL)
General Practice Dentistry Primary 1223G0001XDN28355 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1316647100

Yanisa Alexandra Stuart Salas's National Provider Identifier is 1316647100, issued on Mar 9, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moody Afb, GA. The record was last updated on Aug 13, 2024.