Provider Demographics
NPI:1912119348
Name:SILVERSTEIN, DAVID RUSSELL (DDS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:RUSSELL
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:SILVERSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDSPA
Mailing Address - Street 1:624 W PALMER ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-0431
Mailing Address - Country:US
Mailing Address - Phone:828-524-6111
Mailing Address - Fax:828-524-6438
Practice Address - Street 1:624 W PALMER ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-0431
Practice Address - Country:US
Practice Address - Phone:828-524-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist