Provider Demographics
NPI:1174760581
Name:SILVERS FAMILY DENTAL CARE LLC
Entity type:Organization
Organization Name:SILVERS FAMILY DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-564-1681
Mailing Address - Street 1:4392 STURBRIDGE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3674
Mailing Address - Country:US
Mailing Address - Phone:717-564-1681
Mailing Address - Fax:717-214-3302
Practice Address - Street 1:4392 STURBRIDGE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3674
Practice Address - Country:US
Practice Address - Phone:717-564-1681
Practice Address - Fax:717-214-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029613-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty