Provider Demographics
NPI:1053484220
Name:SALTZMAN, LAWRENCE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:M
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 SATELLITE BLVD
Mailing Address - Street 2:GWINNETT PLACE COMMONS
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5058
Mailing Address - Country:US
Mailing Address - Phone:770-495-0824
Mailing Address - Fax:770-813-9848
Practice Address - Street 1:3800 SATELLITE BLVD
Practice Address - Street 2:GWINNETT PLACE COMMONS
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5058
Practice Address - Country:US
Practice Address - Phone:770-495-0824
Practice Address - Fax:770-813-9848
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist