Provider Demographics
NPI:1992806715
Name:SILVER, KEVIN WAYNE (DDS)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:WAYNE
Last Name:SILVER
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 1:188 E COURT ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4043
Mailing Address - Country:US
Mailing Address - Phone:828-652-3971
Mailing Address - Fax:828-659-6012
Practice Address - Street 1:188 E COURT ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4043
Practice Address - Country:US
Practice Address - Phone:828-652-3971
Practice Address - Fax:828-659-6012
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC61041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice