Provider Demographics
NPI:1639375314
Name:D MILTON SALZER DDS LTD
Entity Type:Organization
Organization Name:D MILTON SALZER DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRES OF CORP
Authorized Official - Prefix:DR
Authorized Official - First Name:D
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:SALZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-498-4555
Mailing Address - Street 1:1500 SHERMER RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062
Mailing Address - Country:US
Mailing Address - Phone:847-498-4555
Mailing Address - Fax:847-498-4569
Practice Address - Street 1:1500 SHERMER RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-498-4555
Practice Address - Fax:847-498-4569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A134491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty