Mariya Medlenov, DDS
Dentist, General Practice in Pine Beach, New Jersey
1477950731- Practice location
- 241 Washington Ave, Pine Beach, NJ 08741-1544
- Phone
- 732-341-6010
- Fax
- —
- Last updated
- August 16, 2020
Mariya Medlenov is a Dentist, General Practice based in Pine Beach, NJ. Mariya Medlenov practices in Pine Beach, NJ and has the professional credentials of DDS. The NPI Number for Mariya Medlenov is 1477950731 and holds a License No. 22DI02579200 (NJ). The current practice location address for Mariya Medlenov is 241 Washington Ave, Pine Beach, NJ 08741-1544 and can be reached out via phone at 732-341-6010.
Provider Profile Details
- NPI Number
- 1477950731
- Provider Name
- Mariya Medlenov
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 241 Washington Ave, Pine Beach, NJ 08741-1544
- Phone Number
- 732-341-6010
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 1, 2014
- Last Update Date
- August 16, 2020
- Certification Date
- August 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 241 Washington Ave
Pine Beach, NJ 08741-1544 - City
- Pine Beach
- State
- New Jersey
- Zip
- 08741-1544
- Phone Number
- 732-341-6010
Provider Business Mailing Address Details
- Address
- 42 Chatsworth RD
Manalapan, NJ 07726-4187 - City
- Manalapan
- State
- NJ
- Zip
- 07726-4187
- Phone Number
- 267-288-3355
License Information
- License Number
- 22DI02579200
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Pine Beach, NJ
View all Dentist, General Practice providers in Pine Beach →Frequently Asked Questions
What is the NPI number of Mariya Medlenov, DDS?
The NPI number of Mariya Medlenov, DDS is 1477950731. It was assigned on December 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Mariya Medlenov, DDS?
Mariya Medlenov, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02579200.
Where does Mariya Medlenov, DDS practice?
The practice location is 241 Washington Ave, Pine Beach, NJ 08741-1544. The office can be reached at 732-341-6010 (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 1477950731 directly on the NPPES registry website.