Provider Demographics
NPI:1437322054
Name:DR'S PLOTNIK&SILBER DDS
Entity Type:Organization
Organization Name:DR'S PLOTNIK&SILBER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:SILBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-548-1711
Mailing Address - Street 1:1711 E 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-2339
Mailing Address - Country:US
Mailing Address - Phone:248-548-1711
Mailing Address - Fax:248-548-3660
Practice Address - Street 1:1711 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2339
Practice Address - Country:US
Practice Address - Phone:248-548-1711
Practice Address - Fax:248-548-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID808100OtherBLUE CROSS &BLUE SHIELD