Provider Demographics
NPI:1184043143
Name:SALAZAR, DAMMER ARMANDO (DDS)
Entity Type:Individual
Prefix:
First Name:DAMMER
Middle Name:ARMANDO
Last Name:SALAZAR
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 1:3209 POST WOODS DR
Mailing Address - Street 2:APT C
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3422
Mailing Address - Country:US
Mailing Address - Phone:949-394-8011
Mailing Address - Fax:
Practice Address - Street 1:1650 OAKBROOK DR STE 440
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1817
Practice Address - Country:US
Practice Address - Phone:770-446-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0147391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice