Provider Demographics
NPI:1114065653
Name:SALHEISER, HANS R (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:R
Last Name:SALHEISER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6093
Mailing Address - Country:US
Mailing Address - Phone:941-952-5151
Mailing Address - Fax:941-323-1284
Practice Address - Street 1:3400 S TAMIAMI TRL
Practice Address - Street 2:SUITE 203
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6093
Practice Address - Country:US
Practice Address - Phone:941-952-5151
Practice Address - Fax:941-323-1284
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00113581223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics