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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL JOHN SALEM DDS
NPI 1104875657
Dentist in Flint, MI

Active since May 10, 2006PECOS Enrolled
5103 W PIERSON RD, FLINT, MI 48504(810) 733-2750(810) 733-3234 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel John Salem Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL JOHN SALEM DDS (NPI 1104875657) is an individual dentist in Flint, Michigan, licensed in Michigan (11629) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104875657
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL JOHN SALEMCredential: DDS
Location Address5103 W PIERSON RDFlint, MI 48504-1395
Mailing Address5103 W Pierson RdFlint, MI 48504-1395 · (810) 733-2750 · Fax (810) 733-3234
Phone(810) 733-2750
Fax(810) 733-3234
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104875657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 11629
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5103 W PIERSON RD, Flint, MI 48504
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel John Salem Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE MARIE JOHNSON MA,CCC-SLP
Speech-Language Pathologist
5103 W PIERSON RD, SUITE #3
FLINT, MI 48504
Genesee County (810) 423-1076
BETHANY GREEN LMSW
Social Worker (School)
5103 W PIERSON RD, SUITE 3
FLINT, MI 48504
Genesee County (810) 391-2923
MS. TIMETRICE ANISHA BENSON FNP-BC
Nurse Practitioner (Family)
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 212-0605
CHARLES PAUL ELLSWORTH DO
Family Medicine
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 733-7503
OAKTREE COMMUNITY & SOCIAL GROWTH
Case Management
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 391-2923
YVONNE WILLIAMS OTR
Occupational Therapist
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 730-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Salem's NPI number?

The NPI number for Samuel Salem is 1104875657. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Samuel Salem located?

Samuel Salem practices at 5103 W Pierson Rd, Flint, MI 48504. The listed phone number is (810) 733-2750.

What is Samuel Salem's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Samuel Salem enrolled in Medicare?

Yes. Samuel Salem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Salem was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.