Healthcare Provider Details

I. General information

NPI: 1881700656
Provider Name (Legal Business Name): DRS DAVIS SALTZBERG WENGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 PALISADE AVE
JERSEY CITY NJ
07306
US

IV. Provider business mailing address

PO BOX 17365
JERSEY CITY NJ
07307
US

V. Phone/Fax

Practice location:
  • Phone: 201-963-1226
  • Fax: 201-963-8780
Mailing address:
  • Phone: 201-963-1226
  • Fax: 201-963-8780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID S SALTZBERG
Title or Position: PARTNER
Credential: DMD
Phone: 201-963-1226