Provider Demographics
NPI:1811082183
Name:SILVERSTEIN, LEE HOWARD (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:HOWARD
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2070 S PARK PL SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2045
Mailing Address - Country:US
Mailing Address - Phone:770-952-5432
Mailing Address - Fax:770-952-3011
Practice Address - Street 1:2070 S PARK PL SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2045
Practice Address - Country:US
Practice Address - Phone:770-952-5432
Practice Address - Fax:770-952-3011
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA107421223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics