Healthcare Provider Details

I. General information

NPI: 1689711251
Provider Name (Legal Business Name): EDWARD NEAL SILVERMAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 OLD COURT RD SUITE 505
BALTIMORE MD
21208-3915
US

IV. Provider business mailing address

3635 OLD COURT RD SUITE 505
BALTIMORE MD
21208-3915
US

V. Phone/Fax

Practice location:
  • Phone: 410-486-0550
  • Fax:
Mailing address:
  • Phone: 410-486-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number13021
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: