Provider Demographics
NPI:1841940699
Name:SILVERSTEIN DENTISTRY LLC
Entity type:Organization
Organization Name:SILVERSTEIN DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SILVERSTEINF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-519-8002
Mailing Address - Street 1:258 N WINNEBAGO DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WINNEBAGO
Mailing Address - State:MO
Mailing Address - Zip Code:64034-8253
Mailing Address - Country:US
Mailing Address - Phone:816-519-8002
Mailing Address - Fax:
Practice Address - Street 1:613 W CONWAY ST
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-8399
Practice Address - Country:US
Practice Address - Phone:816-331-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental