Provider Demographics
NPI:1619006210
Name:SILVAGGIO, CHRISTIAN A (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:A
Last Name:SILVAGGIO
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 1:230 HARRISBURG AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2959
Mailing Address - Country:US
Mailing Address - Phone:717-393-0550
Mailing Address - Fax:717-393-7058
Practice Address - Street 1:230 HARRISBURG AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2959
Practice Address - Country:US
Practice Address - Phone:717-393-0550
Practice Address - Fax:717-393-7058
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0356481223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA092137UPNMedicare ID - Type Unspecified