Provider Demographics
NPI:1639172612
Name:SILVERSTEIN, ROBERT (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
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 1:32 WORLDS FAIR DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1388
Mailing Address - Country:US
Mailing Address - Phone:732-560-0022
Mailing Address - Fax:732-560-1804
Practice Address - Street 1:32 WORLDS FAIR DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1388
Practice Address - Country:US
Practice Address - Phone:732-560-0022
Practice Address - Fax:732-560-1804
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI174641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223483597OtherFEDERAL TAX ID NUMBER