Provider Demographics
NPI:1538242110
Name:RICHARD D SALZMANN DMD PA
Entity type:Organization
Organization Name:RICHARD D SALZMANN DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SALZMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-435-1102
Mailing Address - Street 1:9720 STIRLING RD
Mailing Address - Street 2:#209
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8013
Mailing Address - Country:US
Mailing Address - Phone:954-435-1102
Mailing Address - Fax:954-435-3807
Practice Address - Street 1:9720 STIRLING RD
Practice Address - Street 2:#209
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8013
Practice Address - Country:US
Practice Address - Phone:954-435-1102
Practice Address - Fax:954-435-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 111591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty