Provider Demographics
NPI:1962539445
Name:SILVERMAN, BART W (DMD)
Entity type:Individual
Prefix:DR
First Name:BART
Middle Name:W
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CRANFORD DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5416
Mailing Address - Country:US
Mailing Address - Phone:845-634-5748
Mailing Address - Fax:
Practice Address - Street 1:337 N MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-4318
Practice Address - Country:US
Practice Address - Phone:845-634-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0403701223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01133215Medicaid
NYT96001Medicare UPIN
NYD4H211Medicare PIN