Provider Demographics
NPI:1639415714
Name:SILVESTRI, JOSEPH GASPAR JR (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:GASPAR
Last Name:SILVESTRI
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60132 OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-3888
Mailing Address - Country:US
Mailing Address - Phone:985-882-7329
Mailing Address - Fax:
Practice Address - Street 1:2300 E GAUSE BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461
Practice Address - Country:US
Practice Address - Phone:512-989-6990
Practice Address - Fax:512-989-5995
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1225122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist