Provider Demographics
NPI:1336526359
Name:SILVA, ERENI MAIA (RDH)
Entity Type:Individual
Prefix:
First Name:ERENI
Middle Name:MAIA
Last Name:SILVA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S BUCKLEY RD UNIT M
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5120
Mailing Address - Country:US
Mailing Address - Phone:303-337-3300
Mailing Address - Fax:303-337-3301
Practice Address - Street 1:1250 S BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4180
Practice Address - Country:US
Practice Address - Phone:303-337-3300
Practice Address - Fax:303-337-3301
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH002023775124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist