Provider Demographics
NPI:1518968049
Name:SILVERSTEIN, ALAN LANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LANE
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 KEARNY AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3209
Mailing Address - Country:US
Mailing Address - Phone:201-991-6400
Mailing Address - Fax:201-991-2582
Practice Address - Street 1:843 KEARNY AVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3209
Practice Address - Country:US
Practice Address - Phone:201-991-6400
Practice Address - Fax:201-991-2582
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
NJ135761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice