Provider Demographics
NPI:1194915678
Name:DASILVA, EMILY A (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:A
Last Name:DASILVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 ROLLING RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1047
Mailing Address - Country:US
Mailing Address - Phone:703-912-3800
Mailing Address - Fax:703-912-3816
Practice Address - Street 1:5803 ROLLING RD
Practice Address - Street 2:SUITE 211
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1047
Practice Address - Country:US
Practice Address - Phone:703-912-3800
Practice Address - Fax:703-912-3816
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014127331223G0001X
MA218871223G0001X
RIDEN029771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice