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

Yanisa Alexandra Stuart Salas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316647100

Yanisa Alexandra Stuart Salas is a Student in an Organized Health Care Education/Training Program in Moody AFB, Georgia. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3280 Mitchell Blvd
Moody AFB, GA 31699-1500
Phone: (229) 257-2778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN28355 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 37838587 (FL)

Record details

NPI number1316647100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2023
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

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