Provider Demographics
NPI:1790942118
Name:WAYNE S SILVERMAN, D.D.S.
Entity Type:Organization
Organization Name:WAYNE S SILVERMAN, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-632-4337
Mailing Address - Street 1:211 KENNEDY CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-5205
Mailing Address - Country:US
Mailing Address - Phone:717-632-4337
Mailing Address - Fax:
Practice Address - Street 1:211 KENNEDY CT
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-5205
Practice Address - Country:US
Practice Address - Phone:717-632-4337
Practice Address - Fax:717-632-6832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024483122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty