Elm Dental
LBN: Yelena V. Gutnichenko, Dmd, P.C.
Elm Dental is an health care organization with primary practice located at 52 Elm St , Waltham MA 02453-5317. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Endodontics is the primary health care specialty.
Yelena V. Gutnichenko, Dmd, P.C. can be contacted via phone (781) 899-9530, or through Gutnichenko, Yelena V via phone (781) 899-9530.
Contact Information
Primary practice address
52 Elm St
Waltham MA 02453-5317
Phone: (781) 899-9530
Fax: (781) 736-0977
Website:
Authorized official contact:
Name: Gutnichenko, Yelena V Doctor of Dental Medicine (DMD)
Phone: (781) 899-9530
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Periodontics | 1223P0300X |
Profile Details
| NPI number | 1669516993 |
|---|---|
| LBN Legal business name | Yelena V. Gutnichenko, Dmd, P.C. |
| DBA Doing business as | Elm Dental |
| Authorized official | Gutnichenko, Yelena V Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669516993 | NPPES |
| Massachusetts | MEDICAID | 9732811 |
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