Provider Demographics
NPI:1356336234
Name:SALZANO, DONALD C (DMD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:C
Last Name:SALZANO
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 1:131 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45123-1464
Mailing Address - Country:US
Mailing Address - Phone:937-981-7227
Mailing Address - Fax:
Practice Address - Street 1:131 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:OH
Practice Address - Zip Code:45123-1464
Practice Address - Country:US
Practice Address - Phone:937-981-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0475730Medicaid