Provider Demographics
NPI:1497973531
Name:WALTER P. SILVERSTEIN, DDS, PC.
Entity Type:Organization
Organization Name:WALTER P. SILVERSTEIN, DDS, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-372-2800
Mailing Address - Street 1:2250 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4139
Mailing Address - Country:US
Mailing Address - Phone:718-372-2800
Mailing Address - Fax:718-372-1090
Practice Address - Street 1:2250 86TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4139
Practice Address - Country:US
Practice Address - Phone:718-372-2800
Practice Address - Fax:718-372-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026628-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty