Provider Demographics
NPI:1427617000
Name:SILVA, HENRIQUE FERREIRA (DDS)
Entity type:Individual
Prefix:DR
First Name:HENRIQUE
Middle Name:FERREIRA
Last Name:SILVA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:FL
Mailing Address - Zip Code:32693-3427
Mailing Address - Country:US
Mailing Address - Phone:801-885-9446
Mailing Address - Fax:
Practice Address - Street 1:216 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:FL
Practice Address - Zip Code:32693-3427
Practice Address - Country:US
Practice Address - Phone:352-463-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11450122300000X
FL258071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist