Provider Demographics
NPI:1518133149
Name:SILVA, CLEBER P (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLEBER
Middle Name:P
Last Name:SILVA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 THE FELLSWAY
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2353
Mailing Address - Country:US
Mailing Address - Phone:908-656-1401
Mailing Address - Fax:
Practice Address - Street 1:129 THE FELLSWAY
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-2353
Practice Address - Country:US
Practice Address - Phone:908-656-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY-0479581223X0008X
NJ22DI020885001223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology