Individual
STEVEN WAYNE SILVERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1637 MINERAL SPRING AVENUE, SUITE 219, NORTH PROVIDENCE, RI 02904
(401) 354-6565
(401) 354-0044
Mailing address
1637 MINERAL SPRING AVENUE, SUITE 219, NORTH PROVIDENCE, RI 02904
(401) 354-6565
(401) 354-0044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
14424
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1905
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84916
BLUE CROSS OF RI
RI
05
—
SS11875
—
RI
01
—
X06781
BLUE CROSS OF MA
MA
Enumeration date
01/16/2007
Last updated
07/08/2007
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