MEDICARE: ALERIS DENTAL CENTER

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

General Provider Information

NPI Number	:	1538394531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALERIS DENTAL CENTER

Provider Business Mailing Address
First Line	:	90 LAFAYETTE STREET
Second Line	:	1A
City	:	SALEM
State	:	MA
Zip	:	01970-3625
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 LAFAYETTE ST
Second Line	:	1A
City	:	SALEM
State	:	MA
Zip	:	01970-3625
Country	:	US
Telephone Number	:	781-593-1133
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDREW SOKOLOV
Credential	:
Telephone Number	:	781-593-1133

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	05/19/2009

Similar Medicare Providers

1386634228 — DR. SUNNY YOON O.D.
Practice Location Address:

88 LAFAYETTE ST
SALEM, MA
01970-3625

Practice Phone: 978-745-2803
Practice Fax: 978-745-9317

1912059882 — BANVILLE OPTICAL INC.
Practice Location Address:

88 LAFAYETTE ST
SALEM, MA
01970-3625

Practice Phone: 978-745-2774
Practice Fax: 978-745-9317

1730477803 — TOSHAR TANEJA DMD
Practice Location Address:

90A LAFAYETTE ST
SALEM, MA
01970-3625

Practice Phone: 978-745-0055
Practice Fax:

1437251626 — SHARLENE MALIA KONA CRNA
Practice Location Address:

2216 MAPLEWOOD AVE
WINSTON SALEM, NC
27103-3625

Practice Phone: 434-249-5875
Practice Fax:

1447480603 — MRS. KATIE SNIDER REDDEN KATZ FNP-BC
Practice Location Address:

3625 ALLEGHANY DRIVE
SALEM, VA
24153

Practice Phone: 540-380-1618
Practice Fax:

1083958953 — HEALTHSTAT ON-SITE CLINIC/MEDECO
Practice Location Address:

3625 ALLEGHANY DR
SALEM, VA
24153-1977

Practice Phone: 540-380-1618
Practice Fax:

Directions to “ALERIS DENTAL CENTER ” 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.