Provider Demographics
NPI:1730263286
Name:SILVER, PERRY L (DDS)
Entity type:Individual
Prefix:
First Name:PERRY
Middle Name:L
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 1:496 SAG HARBOR TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-2555
Mailing Address - Country:US
Mailing Address - Phone:631-324-1919
Mailing Address - Fax:631-907-2528
Practice Address - Street 1:496 SAG HARBOR TPKE
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-2555
Practice Address - Country:US
Practice Address - Phone:631-324-1919
Practice Address - Fax:631-907-2528
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0366901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice