Provider Demographics
NPI:1942306287
Name:SILVERS, WARREN DANSER III (DMD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:DANSER
Last Name:SILVERS
Suffix:III
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 1:4392 STURBRIDGE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3674
Mailing Address - Country:US
Mailing Address - Phone:717-564-1681
Mailing Address - Fax:
Practice Address - Street 1:4392 STURBRIDGE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3674
Practice Address - Country:US
Practice Address - Phone:717-564-1681
Practice Address - Fax:717-214-3302
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029613-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA262865223OtherTAX ID