Healthcare Provider Details

I. General information

NPI: 1871232389
Provider Name (Legal Business Name): SILVA VACHHANI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 N 52ND ST STE 705
PHILADELPHIA PA
19131-4729
US

IV. Provider business mailing address

1575 N 52ND ST STE 705
PHILADELPHIA PA
19131-4729
US

V. Phone/Fax

Practice location:
  • Phone: 215-879-1777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS043834
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: