Dr. Grigoriy Yusupov, DDS
Dentist in Elizabeth, New Jersey
1023279254- Practice location
- 65 Jefferson Avenue, Elizabeth, NJ 07201
- Phone
- 908-527-8688
- Fax
- 908-527-9399
- Last updated
- May 1, 2012
Grigoriy Yusupov is a Dentist based in Elizabeth, NJ. Grigoriy Yusupov practices in Elizabeth, NJ and has the professional credentials of DDS. The NPI Number for Grigoriy Yusupov is 1023279254 and holds a License No. 220102207500 (NJ). The current practice location address for Grigoriy Yusupov is 65 Jefferson Avenue, Elizabeth, NJ 07201 and can be reached out via phone at 908-527-8688 and via fax at 908-527-9399.
Provider Profile Details
- NPI Number
- 1023279254
- Provider Name
- Grigoriy Yusupov
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 Jefferson Avenue, Elizabeth, NJ 07201
- Phone Number
- 908-527-8688
- Fax Number
- 908-527-9399
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 20, 2008
- Last Update Date
- May 1, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Jefferson Avenue
Elizabeth, NJ 07201 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07201
- Phone Number
- 908-527-8688
- Fax Number
- 908-527-9399
Provider Business Mailing Address Details
- Address
- 65 Jefferson Avenue
Elizabeth, NJ 07201 - City
- Elizabeth
- State
- NJ
- Zip
- 07201
- Phone Number
- 908-527-8688
- Fax Number
- 908-527-9399
License Information
- License Number
- 220102207500
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Elizabeth, NJ
View all Dentists in Elizabeth →Frequently Asked Questions
What is the NPI number of Dr. Grigoriy Yusupov, DDS?
The NPI number of Dr. Grigoriy Yusupov, DDS is 1023279254. It was assigned on June 20, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Grigoriy Yusupov, DDS?
Dr. Grigoriy Yusupov, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 220102207500.
Where does Dr. Grigoriy Yusupov, DDS practice?
The practice location is 65 Jefferson Avenue, Elizabeth, NJ 07201. The office can be reached at 908-527-8688 (phone) or 908-527-9399 (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 1023279254 directly on the NPPES registry website.