Provider Demographics
NPI:1023030335
Name:SILHAN, STEPHEN JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JOHN
Last Name:SILHAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 STUYVESANT OVAL
Mailing Address - Street 2:8F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2020
Mailing Address - Country:US
Mailing Address - Phone:212-254-7713
Mailing Address - Fax:
Practice Address - Street 1:390 1ST AVE
Practice Address - Street 2:MG
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4933
Practice Address - Country:US
Practice Address - Phone:212-673-1872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice