Provider Demographics
NPI:1811057656
Name:SILVA, BENJAMIN C (DDS)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:C
Last Name:SILVA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11240 MONTWOOD
Mailing Address - Street 2:SUITE J
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4248
Mailing Address - Country:US
Mailing Address - Phone:915-591-4303
Mailing Address - Fax:915-590-9334
Practice Address - Street 1:11240 MONTWOOD
Practice Address - Street 2:SUITE J
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4248
Practice Address - Country:US
Practice Address - Phone:915-591-4303
Practice Address - Fax:915-590-9334
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17304122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist