MEDICARE: ELIZABETH K SILVER DDS PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1700515822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH K SILVER DDS PLLC

Provider Business Mailing Address
First Line	:	1016 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6807
Country	:	US
Telephone Number	:	405-525-3000
Fax Number	:	405-525-3977

Provider Business Practice Location Address
First Line	:	1016 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6807
Country	:	US
Telephone Number	:	405-525-3000
Fax Number	:	405-525-3977

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. ELIZABETH KATHLEEN SILVER
Credential	:	DDS
Telephone Number	:	405-525-3000

Provider Enumeration Date	:	06/06/2022
Last Update Date	:	06/06/2022

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