MEDICARE: DR. IAN SCOTT SILVERSMITH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DEN02827	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356334239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN SCOTT SILVERSMITH D.D.S.

Provider Business Mailing Address
First Line	:	1130 TEN ROD RD STE A104
Second Line	:
City	:	N KINGSTOWN
State	:	RI
Zip	:	02852-4128
Country	:	US
Telephone Number	:	401-667-7079
Fax Number	:	401-667-7520

Provider Business Practice Location Address
First Line	:	1130 TEN ROD RD STE A104
Second Line	:
City	:	N KINGSTOWN
State	:	RI
Zip	:	02852-4128
Country	:	US
Telephone Number	:	401-667-7079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	07/14/2010

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Directions to “ DR. IAN SCOTT SILVERSMITH D.D.S.” Practice Location

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