MEDICARE: EDWARD SILVERMAN DDS AND ASSOCIATES P.A.

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	13021	MD

General Provider Information

NPI Number	:	1922298272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD SILVERMAN DDS AND ASSOCIATES P.A.

Provider Business Mailing Address
First Line	:	2507 NORTH POINT RD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222-1605
Country	:	US
Telephone Number	:	410-284-6650
Fax Number	:	410-284-2995

Provider Business Practice Location Address
First Line	:	2507 NORTH POINT RD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222-1605
Country	:	US
Telephone Number	:	410-284-6650
Fax Number	:	410-284-2995

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDWARD NEAL SILVERMAN
Credential	:	DDS
Telephone Number	:	410-284-6650

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	08/01/2007

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