Provider Demographics
NPI:1063145829
Name:ERIC F DSILVA DDS PLLC
Entity type:Organization
Organization Name:ERIC F DSILVA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:D'SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:315-521-6321
Mailing Address - Street 1:4024 TYNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-6260
Mailing Address - Country:US
Mailing Address - Phone:315-521-6321
Mailing Address - Fax:
Practice Address - Street 1:1320 MATTHEWS TOWNSHIP PKWY STE 101
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4682
Practice Address - Country:US
Practice Address - Phone:704-246-7241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental