Active NPIIndividual providerSole proprietor

Dr. Valeriy Kostenko, D M D

Dentist, General Practice in Lynn, Massachusetts

NPI Number1104969583
Practice location
74 Market St, Lynn, MA 01901-1115
Fax
781-581-1433
Last updated
July 9, 2007

Valeriy Kostenko is a Dentist, General Practice based in Lynn, MA. Valeriy Kostenko practices in Lynn, MA and has the professional credentials of D M D. The NPI Number for Valeriy Kostenko is 1104969583 and holds a License No. 19585 (MA). The current practice location address for Valeriy Kostenko is 74 Market St, Lynn, MA 01901-1115 and can be reached out via phone at 781-581-1411 and via fax at 781-581-1433.

Provider Profile Details

NPI Number
1104969583
Provider Name
Valeriy Kostenko
Credential
D M D
Provider Entity Type
Individual
Gender
Male
Address
74 Market St, Lynn, MA 01901-1115
Phone Number
781-581-1411
Fax Number
781-581-1433
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 Market St
Lynn, MA 01901-1115
City
Lynn
Zip
01901-1115
Phone Number
781-581-1411
Fax Number
781-581-1433
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
74 Market St
Lynn, MA 01901-1115
City
Lynn
State
MA
Zip
01901-1115
Phone Number
781-581-1411
Fax Number
781-581-1433

License Information

License Number
19585
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Valeriy Kostenko, D M D?

The NPI number of Dr. Valeriy Kostenko, D M D is 1104969583. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Valeriy Kostenko, D M D?

Dr. Valeriy Kostenko, D M D is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19585.

Where does Dr. Valeriy Kostenko, D M D practice?

The practice location is 74 Market St, Lynn, MA 01901-1115. The office can be reached at 781-581-1411 (phone) or 781-581-1433 (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 1104969583 directly on the NPPES registry website.

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