# KELLY A. SILVA, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023356540
- **Authorized official:** DR. KELLY A SILVA DDS (PRESIDENT)
- **Authorized official phone:** (208) 245-3912

## Contact information

- **Practice address:** 132 S 2ND ST, SAINT MARIES, ID 83861-2209
- **Practice address phone:** (120) 824-5391
- **Practice address fax:** (120) 824-5551
- **Mailing address:** 132 S 2ND ST, SAINT MARIES, ID 83861-2209
- **Mailing address phone:** (120) 824-5391
- **Mailing address fax:** (120) 824-5551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3897 | ID | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 02/01/2023