Yelena Vladimirov Gutnichenko in Waltham - General Practice

Yelena Vladimirov Gutnichenko - NPI 1174553481

Yelena Vladimirov Gutnichenko is a General Practice in Waltham, Massachusetts. Yelena Vladimirov Gutnichenko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Yelena Vladimirov Gutnichenko is 1174553481. The last update date is 2019-01-22.

Yelena Vladimirov Gutnichenko's current location address is 695 Main St, Waltham, Massachusetts. You can contact this provider via phone number 7818997070 and fax number 7818991802. The mailing address for Yelena Vladimirov Gutnichenko is 695 Main St, Waltham, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Yelena Vladimirov Gutnichenko
Address 695 Main St, Waltham, Massachusetts
Phone Number 7818997070
Fax Number 7818991802
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1174553481
Provider Enumeration Date 2006-07-03
Last Updated Date 2019-01-22

Provider Mailing Address Detail

Address 695 Main St
City Waltham
State Massachusetts (MA)
Post Code 24510609
Phone Number 7818997070
Fax Number 7818991802

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 20567
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202576 MA --

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FAQs about Yelena Vladimirov Gutnichenko

What is the Yelena Vladimirov Gutnichenko's unique identification number?

The Yelena Vladimirov Gutnichenko has been assigned the NPI (National Provider Identifier) Number 1174553481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Yelena Vladimirov Gutnichenko is located?

The Yelena Vladimirov Gutnichenko is situated at the following address: 695 Main St, Waltham, MA, 24510609.

What is Yelena Vladimirov Gutnichenko's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Yelena Vladimirov Gutnichenko's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Yelena Vladimirov Gutnichenko receive its 1174553481 assignment from the Centers for Medicare & Medicaid Services?

The Yelena Vladimirov Gutnichenko was assigned its 1174553481 by the Centers for Medicare & Medicaid Services on 2006-07-03.

As of what date was the information regarding Yelena Vladimirov Gutnichenko, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Yelena Vladimirov Gutnichenko, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-01-22.

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