Provider Demographics
NPI:1013204064
Name:SILVA, RIMMA CHERNYAKHOVSKAYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RIMMA
Middle Name:CHERNYAKHOVSKAYA
Last Name:SILVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24-06 ELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2944
Mailing Address - Country:US
Mailing Address - Phone:201-446-0232
Mailing Address - Fax:
Practice Address - Street 1:216 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1721
Practice Address - Country:US
Practice Address - Phone:201-939-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025048001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice