Provider Demographics
NPI:1134131071
Name:SILVESTRO FAMILY DENTAL
Entity Type:Organization
Organization Name:SILVESTRO FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILVESTRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-888-4545
Mailing Address - Street 1:7083 PEARL ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130
Mailing Address - Country:US
Mailing Address - Phone:440-888-4545
Mailing Address - Fax:440-842-1700
Practice Address - Street 1:7083 PEARL RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HTS
Practice Address - State:OH
Practice Address - Zip Code:44130
Practice Address - Country:US
Practice Address - Phone:440-888-4545
Practice Address - Fax:440-842-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2013-01-28
Deactivation Date:2012-03-16
Deactivation Code:
Reactivation Date:2012-06-26
Provider Licenses
StateLicense IDTaxonomies
OH21807122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty