MEDICARE: ADRIANA SILVA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	10956	KY
2	1223G0001X	General Practice Dentistry	10956	KY
3	390200000X	Student in an Organized Health Care Education/Training Program
4	122300000X	Dentist	DN30184	FL

General Provider Information

NPI Number	:	1548960172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA SILVA DMD

Provider Business Mailing Address
First Line	:	1470 SW 19TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-4172
Country	:	US
Telephone Number	:	703-994-9135
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 E OAKLAND PARK BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-2880
Country	:	US
Telephone Number	:	754-206-5897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	01/27/2026

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