Active NPIIndividual provider

Tanya Stavisky, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Vineland, New Jersey

NPI Number1023136843
Practice location
1171 E Landis Ave, Vineland, NJ 08360-4200
Fax
856-691-1498
Last updated
July 8, 2007

Tanya Stavisky is a Dentist, Orthodontics and Dentofacial Orthopedics based in Vineland, NJ. Tanya Stavisky practices in Vineland, NJ and has the professional credentials of DMD. The NPI Number for Tanya Stavisky is 1023136843 and holds a License No. 21163 (NJ). The current practice location address for Tanya Stavisky is 1171 E Landis Ave, Vineland, NJ 08360-4200 and can be reached out via phone at 856-691-7142 and via fax at 856-691-1498.

Provider Profile Details

NPI Number
1023136843
Provider Name
Tanya Stavisky
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1171 E Landis Ave, Vineland, NJ 08360-4200
Phone Number
856-691-7142
Fax Number
856-691-1498
Sole Proprietor
No
Provider Enumeration Date
March 27, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1171 E Landis Ave
Vineland, NJ 08360-4200
Zip
08360-4200
Phone Number
856-691-7142
Fax Number
856-691-1498
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
32 Jefferson Ave
Haddonfield, NJ 08033-3410
City
Haddonfield
State
NJ
Zip
08033-3410

License Information

License Number
21163
License State
NJ
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanya Stavisky, DMD?

The NPI number of Tanya Stavisky, DMD is 1023136843. It was assigned on March 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Tanya Stavisky, DMD?

Tanya Stavisky, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 21163.

Where does Tanya Stavisky, DMD practice?

The practice location is 1171 E Landis Ave, Vineland, NJ 08360-4200. The office can be reached at 856-691-7142 (phone) or 856-691-1498 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023136843 directly on the NPPES registry website.

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