MEDICARE: SILBERTAB PC

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	20143	TX
2	1223G0001X	General Practice Dentistry	20143	TX

General Provider Information

NPI Number	:	1811260763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILBERTAB PC

Provider Business Mailing Address
First Line	:	19200 PRESTON RD
Second Line	:	SUITE 100
City	:	DALLAS
State	:	TX
Zip	:	75252-2450
Country	:	US
Telephone Number	:	972-232-2838
Fax Number	:

Provider Business Practice Location Address
First Line	:	19200 PRESTON RD
Second Line	:	SUITE 100
City	:	DALLAS
State	:	TX
Zip	:	75252-2450
Country	:	US
Telephone Number	:	972-232-2838
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID SILBER
Credential	:	DMD
Telephone Number	:	214-335-2257

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	02/22/2012

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