Provider Demographics
NPI:1386700680
Name:SALTZMAN, MARTY JAMES (DDS)
Entity type:Individual
Prefix:
First Name:MARTY
Middle Name:JAMES
Last Name:SALTZMAN
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 1:11962 COURSEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4405
Mailing Address - Country:US
Mailing Address - Phone:225-291-3636
Mailing Address - Fax:225-291-3616
Practice Address - Street 1:11962 COURSEY BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4405
Practice Address - Country:US
Practice Address - Phone:225-291-3636
Practice Address - Fax:225-291-3616
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA49901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics