Provider Demographics
NPI:1932318953
Name:SILVER, SCOTT A (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:SILVER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 PROGRESS PL
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3300
Mailing Address - Country:US
Mailing Address - Phone:856-261-0844
Mailing Address - Fax:
Practice Address - Street 1:621 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08107-1219
Practice Address - Country:US
Practice Address - Phone:856-854-4354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13714122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist