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General NPI Number Information
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NPI Number | 1477574994
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Entity Type | Organization
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Legal Business Name | DRS. SILVER AND TOMASELLI, P.C.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 810 CANTON RD NE SUITE B
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City | MARIETTA
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State | GA
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Zip | 30060-7257
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Country | US
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Telephone | 770-422-5220
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Fax | 770-424-3941
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Provider Business Mailing Address
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Address Line | 810 CANTON RD NE SUITE B
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City | MARIETTA
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State | GA
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Zip | 30060-7257
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Country | US
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Telephone | 770-422-5220
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Fax | 770-424-3941
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DANTE TOMASELLI
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Credential | D.M.D.
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Telephone | 770-422-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 10829
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 8545
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License Number State | GA
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