Provider Demographics
NPI:1841433604
Name:SILK, CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:
Last Name:SILK
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 1:200 CENTRAL PARK SOUTH,
Mailing Address - Street 2:DR. CHARLES SILK, SUITE 214
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1450
Mailing Address - Country:US
Mailing Address - Phone:212-977-6924
Mailing Address - Fax:212-245-8373
Practice Address - Street 1:200 CENTRAL PARK SOUTH
Practice Address - Street 2:DR. CHARLES SILK, SUITE 214
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1450
Practice Address - Country:US
Practice Address - Phone:212-977-6924
Practice Address - Fax:212-245-8373
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0376961223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics