Selevan, Alissa

Selevan, Alissa is an individual health care provider with primary practice located at 803 Kennedy Blvd , Bayonne NJ 07002-5835. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Selevan, Alissa can be contacted via phone (201) 339-6604.

Contact Information

Primary practice address
803 Kennedy Blvd Bayonne NJ 07002-5835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 056383 New York
Dental Providers / Dentist 122300000X 22DI02503900 New Jersey

Profile Details

NPI number 1730443250
LBN Legal business name Selevan, Alissa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Dec 21st, 2021 - about 3 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.

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