Provider Demographics
NPI:1548435712
Name:SILBERSTEIN, KURT D (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:D
Last Name:SILBERSTEIN
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1964 SHERIDAN RD
Mailing Address - Street 2:#22
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2549
Mailing Address - Country:US
Mailing Address - Phone:847-432-3038
Mailing Address - Fax:
Practice Address - Street 1:1964 SHERIDAN RD
Practice Address - Street 2:#22
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2549
Practice Address - Country:US
Practice Address - Phone:847-432-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.0015681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019022493Medicaid