Provider Demographics
NPI:1689273559
Name:MAGGIE SILVASI, DDS, PLLC
Entity Type:Organization
Organization Name:MAGGIE SILVASI, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR., MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVASI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-765-6128
Mailing Address - Street 1:25627 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-0907
Mailing Address - Country:US
Mailing Address - Phone:248-544-9000
Mailing Address - Fax:
Practice Address - Street 1:25627 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0907
Practice Address - Country:US
Practice Address - Phone:248-544-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental