Provider Demographics
NPI:1861703597
Name:SILVA, NATALIA M (DDS)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:M
Last Name:SILVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8150 LAKECREST DR
Mailing Address - Street 2:APT 313
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3334
Mailing Address - Country:US
Mailing Address - Phone:240-475-4906
Mailing Address - Fax:
Practice Address - Street 1:7500 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3502
Practice Address - Country:US
Practice Address - Phone:301-474-2506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT0103741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program