Grigoriy Yusupov is a Dentist in Elizabeth, New Jersey. Grigoriy Yusupov practices all healthcare services and medical treatments related to Dentist. The NPI Number for Grigoriy Yusupov is 1023279254. The last update date is 2012-05-01.
Grigoriy Yusupov's current location address is 65 Jefferson Avenue, Elizabeth, New Jersey. You can contact this provider via phone number 9085278688 and fax number 9085279399. The mailing address for Grigoriy Yusupov is 65 Jefferson Avenue, Elizabeth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grigoriy Yusupov |
|---|---|
| Address | 65 Jefferson Avenue, Elizabeth, New Jersey |
| Phone Number | 9085278688 |
| Fax Number | 9085279399 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023279254 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2012-05-01 |
Provider Mailing Address Detail
| Address | 65 Jefferson Avenue |
|---|---|
| City | Elizabeth |
| State | New Jersey (NJ) |
| Post Code | 7201 |
| Phone Number | 9085278688 |
| Fax Number | 9085279399 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 220102207500 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9069909 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Grigoriy Yusupov by the Centers for Medicare & Medicaid Services?
The Grigoriy Yusupov has been issued the NPI (National Provider Identifier) 1023279254, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Grigoriy Yusupov is geographically located?
The Grigoriy Yusupov is physically situated at the following location: 65 Jefferson Avenue, Elizabeth, NJ, 7201.
What is the Grigoriy Yusupov's specialty and taxonomy code?
The Grigoriy Yusupov's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Grigoriy Yusupov receive the assignment of its 1023279254 from the Centers for Medicare & Medicaid Services?
The Grigoriy Yusupov was issued its 1023279254 by the Centers for Medicare & Medicaid Services on 2008-06-20.
As of what date were the Grigoriy Yusupov's details last updated?
The information pertaining to the Grigoriy Yusupov, including its address, specialty, and other details, was most recently updated on 2012-05-01.