Provider Demographics
NPI:1225700313
Name:SILVERSMITH ORTHODONTICS INC
Entity Type:Organization
Organization Name:SILVERSMITH ORTHODONTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-667-7079
Mailing Address - Street 1:1130 TEN ROD RD STE A104
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4128
Mailing Address - Country:US
Mailing Address - Phone:401-667-7079
Mailing Address - Fax:401-667-7520
Practice Address - Street 1:1130 TEN ROD RD STE A104
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4128
Practice Address - Country:US
Practice Address - Phone:401-667-7079
Practice Address - Fax:401-667-7520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty