Provider Demographics
NPI:1306810247
Name:KATZMAN, ERIC M (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:KATZMAN
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 1:42 DOVER POINT RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4668
Mailing Address - Country:US
Mailing Address - Phone:603-749-2010
Mailing Address - Fax:
Practice Address - Street 1:42 DOVER POINT RD UNIT D
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4668
Practice Address - Country:US
Practice Address - Phone:603-749-2010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH036571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice