MEDICARE: OLGA KRASNOSLOBODTSEVA

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	DN1856680	MA

General Provider Information

NPI Number	:	1205236122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA KRASNOSLOBODTSEVA

Provider Business Mailing Address
First Line	:	398 BLUE HILLS PKWY
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-2738
Country	:	US
Telephone Number	:	617-615-8371
Fax Number	:

Provider Business Practice Location Address
First Line	:	398 BLUE HILLS PKWY
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-2738
Country	:	US
Telephone Number	:	617-615-8371
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	08/27/2014

Similar Medicare Providers

1356283667 — JESSICA CULLY PA-C
Practice Location Address:

199 REEDSDALE RD
MILTON, MA
02186-3900

Practice Phone: 617-696-4600
Practice Fax:

1942067046 — ELLA ELISABETH BRANDON LICSW
Practice Location Address:

3 BOULEVARD ST STE 1R
MILTON, MA
02186-5400

Practice Phone: 617-299-0640
Practice Fax:

1558364182 — DR. ROY PAUL TARR D.P.M.
Practice Location Address:

100 HIGHLAND ST , STE 122
MILTON, MA
02186-3878

Practice Phone: 617-698-4830
Practice Fax: 617-698-3668

1952302267 — MRS. ELLEN DIANNE KAWADLER APRN, BC, FNP
Practice Location Address:

1071 BLUE HILL AVE
MILTON, MA
02186-2302

Practice Phone: 617-333-2394
Practice Fax: 617-333-2029

1942202502 — GREGORY J KECHEJIAN M.D.
Practice Location Address:

100 HIGHLAND ST , SUITE 22
MILTON, MA
02186-3881

Practice Phone: 617-696-0660
Practice Fax: 617-696-6655

1881696375 — JAMES C LIN M.D.
Practice Location Address:

100 HIGHLAND ST STE 226
MILTON, MA
02186-3880

Practice Phone: 855-505-3335
Practice Fax: 617-696-7380

Directions to “ OLGA KRASNOSLOBODTSEVA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.