Provider Demographics
NPI:1922110006
Name:SALZMANN, RICHARD DAVID (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DAVID
Last Name:SALZMANN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:D
Other - Last Name:SALZMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD PA
Mailing Address - Street 1:9720 STIRLING ROAD
Mailing Address - Street 2:#209
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33024
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
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN111591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics