Jeffrey Ian Saltz, DDS
Individual provider Active NPI Periodontics · Kittery, ME
NPI 1609979012 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609979012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 3257 (ME)
- Practice address
- 74 State Rd
Suite 102
Kittery, ME 03904-1564 - Phone
- (207) 439-5413
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130712000150 | ME | Order and Referring Only - Oral Surgery |
0749420867 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3257 | ME | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Jeffrey Ian Saltz DDS, PA | Periodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3257 | ME | Yes |
Addresses
Primary practice location
74 State Rd
Suite 102
Kittery, ME 03904-1564
Mailing address
74 State Rd
Suite 102
Kittery, ME 03904-1564
Phone (207) 439-5413
Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.