Healthcare Provider Details

I. General information

NPI: 1932318953
Provider Name (Legal Business Name): SCOTT A SILVER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 WHITE HORSE PIKE
HADDON TOWNSHIP NJ
08107-1219
US

IV. Provider business mailing address

22 PROGRESS PL
VOORHEES NJ
08043-3300
US

V. Phone/Fax

Practice location:
  • Phone: 856-854-4354
  • Fax:
Mailing address:
  • Phone: 856-261-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13714
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: