Healthcare Provider Details

I. General information

NPI: 1417680398
Provider Name (Legal Business Name): CAROLYN SILVERMAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 475 BOX 1
FPO AP
96350-1200
US

IV. Provider business mailing address

4470 18TH ST
BETTENDORF IA
52722-2039
US

V. Phone/Fax

Practice location:
  • Phone: 563-209-6061
  • Fax:
Mailing address:
  • Phone: 563-209-6061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00205242
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: