Provider Demographics
NPI:1780653360
Name:SILVESTRO, ANTHONY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:SILVESTRO
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 1:7083 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4940
Mailing Address - Country:US
Mailing Address - Phone:440-888-4545
Mailing Address - Fax:
Practice Address - Street 1:7083 PEARL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-4940
Practice Address - Country:US
Practice Address - Phone:440-888-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-11-22
Deactivation Date:2012-06-29
Deactivation Code:
Reactivation Date:2013-02-14
Provider Licenses
StateLicense IDTaxonomies
OHOH218071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice