Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS041232 | PA |
NPI | 1013316983 |
---|---|
Provider Name | Matthew Silver |
First Address | Wayne, PA 19087-1909 |
Second Address | Wyomissing, PA 19610-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2014 |
Last Update Date | 13/07/2021 |