Provider Demographics
NPI:1518209345
Name:SILVESTRI, ANDREA (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SILVESTRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76117-3729
Mailing Address - Country:US
Mailing Address - Phone:817-834-3666
Mailing Address - Fax:817-222-0730
Practice Address - Street 1:5205 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76117-3729
Practice Address - Country:US
Practice Address - Phone:817-834-3666
Practice Address - Fax:817-222-0730
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15537122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist