Provider Demographics
NPI:1467292318
Name:SILMAN, MARIAM EHAB (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIAM
Middle Name:EHAB
Last Name:SILMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9555 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-8918
Mailing Address - Country:US
Mailing Address - Phone:219-671-8442
Mailing Address - Fax:
Practice Address - Street 1:11 W US HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2108
Practice Address - Country:US
Practice Address - Phone:219-322-6892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014420A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist