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NPI Code Detail

MEDICARE: ELENA SINIAVER DMD

MEDICARE: ELENA SINIAVER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry20118MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154477263
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA SINIAVER DMD
Provider Business Mailing Address
First Line : 90 LAFAYETTE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-4077
Country : US
Telephone Number : 855-745-0055
Fax Number : 978-745-0058
Provider Business Practice Location Address
First Line : 90 LAFAYETTE ST
Second Line :
City : SALEM
State : MA
Zip : 01970-4077
Country : US
Telephone Number : 855-745-0055
Fax Number : 978-745-0058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 10/20/2020

Similar Medicare Providers

1235542457 — ELENA SINIAVER, DMD PC
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Directions to “ ELENA SINIAVER DMD” Practice Location

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