Provider Demographics
NPI:1265483655
Name:SILVER, THOMAS CLARK (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CLARK
Last Name:SILVER
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Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:11201 CORPORATE CIR N
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-3701
Mailing Address - Country:US
Mailing Address - Phone:727-577-4911
Mailing Address - Fax:727-577-4912
Practice Address - Street 1:11201 CORPORATE CIR N
Practice Address - Street 2:SUITE 160
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3701
Practice Address - Country:US
Practice Address - Phone:727-577-4911
Practice Address - Fax:727-577-4912
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2009-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN109791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry