Silver Forest Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SILVER FOREST DENTAL PLLC

Practice address

60 Silver Forest Dr Ste 104
St Augustine, FL 32092-3838

Phone

(904) 640-8288

NPI assigned

May 4, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Kelly

Title

Owner

Phone

(410) 303-1528

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1194414268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SILVER FOREST DR STE 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923838",
            "telephone_number": "904-640-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SILVER FOREST DR STE 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923838",
            "telephone_number": "904-640-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER FOREST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-303-1528"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney T Sickel, DPT
• Krishna M Sikaria, M.D.
• Aaron Harvey Sikes Jr., PHARMD
• Kassia C Silva
• Gabriela Silveira Pimenta
• Sarah Eileen Silvestre
• Ashley Simkanich
• Stephanie Rose Simms, DNP
• Chyna Simonds
• Alyssa Simons, RBT

• Dental Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.