Provider Demographics
NPI:1972777530
Name:SILVAGGIO, JOSEPH A (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:SILVAGGIO
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 1:415 BUSINESS PARK LN
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-9120
Mailing Address - Country:US
Mailing Address - Phone:610-820-8338
Mailing Address - Fax:610-820-8374
Practice Address - Street 1:415 BUSINESS PARK LN
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9120
Practice Address - Country:US
Practice Address - Phone:610-820-8338
Practice Address - Fax:610-820-8374
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028876L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics