Provider Demographics
NPI:1376654483
Name:SILVA, PERRY V (DDS, MD)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:V
Last Name:SILVA
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 EL DORADO ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4606
Mailing Address - Country:US
Mailing Address - Phone:831-372-2882
Mailing Address - Fax:831-655-6434
Practice Address - Street 1:335 EL DORADO ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4625
Practice Address - Country:US
Practice Address - Phone:831-372-2882
Practice Address - Fax:831-655-6434
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA375041223S0112X
CAG81633204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery