Provider Demographics
NPI:1063739720
Name:SILVER DENTAL ASSOCIATES, L.L.C.
Entity type:Organization
Organization Name:SILVER DENTAL ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-387-1844
Mailing Address - Street 1:1816 MOUNT HOLLY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4718
Mailing Address - Country:US
Mailing Address - Phone:609-387-1844
Mailing Address - Fax:
Practice Address - Street 1:1816 MOUNT HOLLY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4718
Practice Address - Country:US
Practice Address - Phone:609-387-1844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI16823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty