Provider Demographics
NPI:1003820663
Name:SALM, CLIFFORD (DMD)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:
Last Name:SALM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 EAST 60TH STREET
Mailing Address - Street 2:SUITE 608
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1082
Mailing Address - Country:US
Mailing Address - Phone:212-308-3222
Mailing Address - Fax:212-888-3581
Practice Address - Street 1:30 E 60TH ST
Practice Address - Street 2:SUITE 608
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1082
Practice Address - Country:US
Practice Address - Phone:212-308-3222
Practice Address - Fax:212-888-3581
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0357131223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery