Provider Demographics
NPI:1669405627
Name:ROBERT SILVERSTEIN, DMD, MS, PA
Entity type:Organization
Organization Name:ROBERT SILVERSTEIN, DMD, MS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-560-0022
Mailing Address - Street 1:32 WORLDS FAIR DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1388
Mailing Address - Country:US
Mailing Address - Phone:732-560-0022
Mailing Address - Fax:732-560-1804
Practice Address - Street 1:32 WORLDS FAIR DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1388
Practice Address - Country:US
Practice Address - Phone:732-560-0022
Practice Address - Fax:732-560-1804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI174641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty