MEDICARE: DENTAL ARTS STUDIO

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
1	1223G0001X	General Practice Dentistry	20312	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1861665168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL ARTS STUDIO

Provider Business Mailing Address
First Line	:	15 W PROSPECT ST
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-2161
Country	:	US
Telephone Number	:	732-254-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 W PROSPECT ST
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-2161
Country	:	US
Telephone Number	:	732-254-5600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SVETLANA STEINBERG
Credential	:	D.M.D.
Telephone Number	:	732-254-5600

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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Directions to “DENTAL ARTS STUDIO ” Practice Location

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