Healthcare Provider Details

I. General information

NPI: 1669405627
Provider Name (Legal Business Name): ROBERT SILVERSTEIN, DMD, MS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 WORLDS FAIR DR SUITE 101
SOMERSET NJ
08873-1388
US

IV. Provider business mailing address

32 WORLDS FAIR DR SUITE 101
SOMERSET NJ
08873-1388
US

V. Phone/Fax

Practice location:
  • Phone: 732-560-0022
  • Fax: 732-560-1804
Mailing address:
  • Phone: 732-560-0022
  • Fax: 732-560-1804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDI17464
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT SILVERSTEIN
Title or Position: PRESIDENT
Credential: DMD
Phone: 732-560-0022