Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Salem Plastic Surgery Inc

Organization Specialist · NPI 1588621213

Salem Plastic Surgery Inc provides Specialist services in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1345A Westgate Center Dr
Winston Salem, NC 27103-2934 Not confirmed with CMS for 17 years — call before visiting
Phone: (336) 768-8483
Fax: (336) 768-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 75404 (NC)

Record details

NPI number1588621213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Tucker — President · (336) 768-8483
NPI enumeratedApril 27, 2006
Last updated in NPPESOctober 13, 2008
Mailing address1345 Westgate Center Dr Ste A, Winston Salem, NC 27103-3041

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