Provider Demographics
NPI:1083674741
Name:SILBER, ELLIOT (DDS)
Entity Type:Individual
Prefix:
First Name:ELLIOT
Middle Name:
Last Name:SILBER
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 1:25 WEST 125TH ST
Mailing Address - Street 2:
Mailing Address - City:N.Y.C.
Mailing Address - State:NY
Mailing Address - Zip Code:10027
Mailing Address - Country:US
Mailing Address - Phone:212-860-0130
Mailing Address - Fax:212-274-8770
Practice Address - Street 1:25 WEST 125TH ST
Practice Address - Street 2:
Practice Address - City:N.Y.C.
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-860-0130
Practice Address - Fax:212-274-8770
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0344121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice