Provider Demographics
NPI:1477574994
Name:DRS. SILVER AND TOMASELLI, P.C.
Entity Type:Organization
Organization Name:DRS. SILVER AND TOMASELLI, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMASELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-422-5220
Mailing Address - Street 1:810 CANTON RD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7257
Mailing Address - Country:US
Mailing Address - Phone:770-422-5220
Mailing Address - Fax:770-424-3941
Practice Address - Street 1:810 CANTON RD NE
Practice Address - Street 2:SUITE B
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7257
Practice Address - Country:US
Practice Address - Phone:770-422-5220
Practice Address - Fax:770-424-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA108291223P0300X
GA85451223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty