Healthcare Provider Details

I. General information

NPI: 1679787220
Provider Name (Legal Business Name): MONICA F TIU SILVA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA F TIU DDS

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 CARAWAY CT STE 1050
LARGO MD
20774-5338
US

IV. Provider business mailing address

5701 FOGGY LN
DERWOOD MD
20855-1620
US

V. Phone/Fax

Practice location:
  • Phone: 301-494-3000
  • Fax: 301-494-3333
Mailing address:
  • Phone: 347-460-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number053415
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number15860
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: