MEDICARE: DR. BENJAMIN C SILVA DDS

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	122300000X	Dentist	17304	TX

General Provider Information

NPI Number	:	1811057656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN C SILVA DDS

Provider Business Mailing Address
First Line	:	11240 MONTWOOD
Second Line	:	SUITE J
City	:	EL PASO
State	:	TX
Zip	:	79936-4248
Country	:	US
Telephone Number	:	915-591-4303
Fax Number	:	915-590-9334

Provider Business Practice Location Address
First Line	:	11240 MONTWOOD
Second Line	:	SUITE J
City	:	EL PASO
State	:	TX
Zip	:	79936-4248
Country	:	US
Telephone Number	:	915-591-4303
Fax Number	:	915-590-9334

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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