Provider Demographics
NPI:1770516650
Name:SILVESTRI, ANTHONY RUDOLPH JR (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RUDOLPH
Last Name:SILVESTRI
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:3 POST OFFICE SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-3905
Mailing Address - Country:US
Mailing Address - Phone:617-426-6011
Mailing Address - Fax:617-426-4680
Practice Address - Street 1:3 POST OFFICE SQ
Practice Address - Street 2:9TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-3905
Practice Address - Country:US
Practice Address - Phone:617-426-6011
Practice Address - Fax:617-426-4680
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA121021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice