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YANISA ALEXANDRA STUART SALAS
NPI 1316647100
Dentist - General Practice in Moody Afb, GA

Active since March 09, 2023
3280 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2024, Mar 9, 2023 (2 updates tracked since 2023).

About Yanisa Alexandra Stuart Salas NPPES

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

YANISA ALEXANDRA STUART SALAS (NPI 1316647100) is an individual general practice provider in Moody Afb, Georgia, licensed in Florida (DN28355) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1316647100
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameYANISA ALEXANDRA STUART SALAS
Location Address3280 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3280 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-2778
Phone(229) 257-2778
Sole ProprietorYes
Enumeration DateMarch 9, 2023
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1316647100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN28355
Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 37838587 (FL)
3280 MITCHELL BLVD, Moody Afb, GA 31699
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JASON LANTZ WHITE IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY A F B, GA 31699
Lowndes County (229) 257-2105
TYLER AUSTIN MATTAS
Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (520) 861-6058
MISS KATIE STAUFFER ATC
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-9919
MRS. CHULETE AURIELLE WALLACE-KEANE LCSW
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
GEORGIA GEORGETTA OROPEZA LCSW
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 630-5113
STEPHANIE EVANS LCSW
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
MRS. RACHEL SMITH ATC, LAT, M.ED.
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
ADAM JACOB ROBBINS DMD
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778

Frequently Asked Questions

What is Yanisa Stuart Salas's NPI number?

The NPI number assigned to this healthcare provider is 1316647100, enumerated as an "individual" on March 09, 2023.

Where is the provider located?

The provider is located at 3280 MITCHELL BLVD MOODY AFB, GA 31699 and the phone number is (229) 257-2778.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.