Konstantinova, Svetlana
Konstantinova, Svetlana is an individual health care provider with primary practice located at 707 Elizabeth Ave , Elizabeth NJ 07201-2806. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Konstantinova, Svetlana can be contacted via phone (908) 354-1500.Contact Information
Primary practice address
707 Elizabeth Ave
Elizabeth NJ 07201-2806
Phone: (908) 354-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI02322000 | New Jersey |
Profile Details
| NPI number | 1003025503 |
|---|---|
| LBN Legal business name | Konstantinova, Svetlana |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Oct 21st, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003025503 | NPPES |
| New Jersey | MEDICAID | 0136051 |
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