Healthcare Provider Details

I. General information

NPI: 1487918512
Provider Name (Legal Business Name): MATTHEW SILVERSTEIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2012
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 KIEL AVE STE 202
KINNELON NJ
07405-2544
US

IV. Provider business mailing address

20 NORMANDY HEIGHTS RD
MORRISTOWN NJ
07960-4612
US

V. Phone/Fax

Practice location:
  • Phone: 973-838-4499
  • Fax: 973-838-4499
Mailing address:
  • Phone: 973-838-4499
  • Fax: 973-838-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02594900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number22DI02594900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: