MEDICARE: ANDREA SILVESTRI DDS PA

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	1223G0001X	General Practice Dentistry	15537	TX

General Provider Information

NPI Number	:	1699785030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREA SILVESTRI DDS PA

Provider Business Mailing Address
First Line	:	5205 BROADWAY AVE
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-3729
Country	:	US
Telephone Number	:	817-834-3666
Fax Number	:

Provider Business Practice Location Address
First Line	:	5205 BROADWAY AVE
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-3729
Country	:	US
Telephone Number	:	817-834-3666
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREA M SILVESTRI
Credential	:	DDS
Telephone Number	:	817-834-3666

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/22/2020

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