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General NPI Number Information
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NPI Number | 1063769511
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Entity Type | Organization
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Legal Business Name | THOMAS C. SILVER, D.M.D., M.S., P.A.
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 11201 CORPORATE CIR N STE 160
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City | ST PETERSBURG
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State | FL
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Zip | 33716-3701
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Country | US
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Telephone | 727-577-4911
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Fax | 727-577-4912
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Provider Business Mailing Address
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Address Line | 11201 CORPORATE CIR N STE 160
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City | ST PETERSBURG
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State | FL
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Zip | 33716-3701
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Country | US
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Telephone | 727-577-4911
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Fax | 727-577-4912
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Authorized Official
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Title or Position | CEO / DENTIST
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Name | DR. THOMAS C SILVER
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Credential | D.M.D.
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Telephone | 727-577-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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