Provider Demographics
NPI:1922172022
Name:SILVERMAN, MARK E (DDS)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:E
Last Name:SILVERMAN
Suffix:
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 1:7926 OLD SEWARD HWY
Mailing Address - Street 2:STE B7
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518
Mailing Address - Country:US
Mailing Address - Phone:907-349-8568
Mailing Address - Fax:907-349-6846
Practice Address - Street 1:7926 OLD SEWARD HWY
Practice Address - Street 2:STE B7
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518
Practice Address - Country:US
Practice Address - Phone:907-349-8568
Practice Address - Fax:907-349-6846
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK9231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDD09233Medicaid
733151OtherUCCI