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NPI Code Detail

MEDICARE: DR. ALEKSEY ZELENKO DMD

MEDICARE: DR. ALEKSEY ZELENKO 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
1122300000XDentistDGD.8278SC

General Provider Information

NPI Number : 1306288667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEKSEY ZELENKO DMD
Provider Business Mailing Address
First Line : 2224 OLD FURNACE RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5782
Country : US
Telephone Number : 864-580-8767
Fax Number :
Provider Business Practice Location Address
First Line : 2224 OLD FURNACE RD
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5782
Country : US
Telephone Number : 864-580-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 10/28/2022

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