Provider Demographics
NPI:1588832380
Name:JAMES E SILVIA DMD INCORPORATED
Entity Type:Organization
Organization Name:JAMES E SILVIA DMD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SILVIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-673-3336
Mailing Address - Street 1:1421 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-2865
Mailing Address - Country:US
Mailing Address - Phone:508-673-3336
Mailing Address - Fax:508-675-9390
Practice Address - Street 1:1421 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-2865
Practice Address - Country:US
Practice Address - Phone:508-673-3336
Practice Address - Fax:508-675-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty