MEDICARE: DR. SCOTT A SILVER 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	13714	NJ

General Provider Information

NPI Number	:	1932318953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT A SILVER DMD

Provider Business Mailing Address
First Line	:	22 PROGRESS PL
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-3300
Country	:	US
Telephone Number	:	856-261-0844
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 WHITE HORSE PIKE
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08107-1219
Country	:	US
Telephone Number	:	856-854-4354
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

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