Elizaveta Malinina, DMD
Student in an Organized Health Care Education/Training Program in Lyons, New Jersey
1104276088- Practice location
- 151 Knollcroft RD, Lyons, NJ 07939-5001
- Phone
- 908-647-0180
- Fax
- —
- Last updated
- July 25, 2022
Elizaveta Malinina is a Student in an Organized Health Care Education/Training Program based in Lyons, NJ. Elizaveta Malinina practices in Lyons, NJ and has the professional credentials of DMD. The NPI Number for Elizaveta Malinina is 1104276088 and holds a License No. DN1857677 (MA). The current practice location address for Elizaveta Malinina is 151 Knollcroft RD, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0180.
Provider Profile Details
- NPI Number
- 1104276088
- Provider Name
- Elizaveta Malinina
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 151 Knollcroft RD, Lyons, NJ 07939-5001
- Phone Number
- 908-647-0180
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2016
- Last Update Date
- July 25, 2022
- Certification Date
- July 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Knollcroft RD
Lyons, NJ 07939-5001 - City
- Lyons
- State
- New Jersey
- Zip
- 07939-5001
- Phone Number
- 908-647-0180
Provider Business Mailing Address Details
- Address
- 36 Hawthorne Pl Apt 2A
Montclair, NJ 07042-3243 - City
- Montclair
- State
- NJ
- Zip
- 07042-3243
License Information
- License Number (1)
- DN1857677
- License State (1)
- MA
- Taxonomy (1)
- Dentist · 122300000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Lyons, NJ
View all Student in an Organized Health Care Education/Training Program providers in Lyons →Frequently Asked Questions
What is the NPI number of Elizaveta Malinina, DMD?
The NPI number of Elizaveta Malinina, DMD is 1104276088. It was assigned on June 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Elizaveta Malinina, DMD?
Elizaveta Malinina, DMD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number DN1857677.
Where does Elizaveta Malinina, DMD practice?
The practice location is 151 Knollcroft RD, Lyons, NJ 07939-5001. The office can be reached at 908-647-0180 (phone).
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 1104276088 directly on the NPPES registry website.