Active NPIIndividual providerSole proprietor

Dr. Svetlana Bodneva, DDS

Dentist, General Practice in Fort Lee, New Jersey

NPI Number1578774436
Practice location
201 Bridge Plz N, Fort Lee, NJ 07024-5911
Fax
201-944-4989
Last updated
July 8, 2007

Svetlana Bodneva is a Dentist, General Practice based in Fort Lee, NJ. Svetlana Bodneva practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Svetlana Bodneva is 1578774436 and holds a License No. 20203 (NJ). The current practice location address for Svetlana Bodneva is 201 Bridge Plz N, Fort Lee, NJ 07024-5911 and can be reached out via phone at 201-944-0036 and via fax at 201-944-4989.

Provider Profile Details

NPI Number
1578774436
Provider Name
Svetlana Bodneva
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
201 Bridge Plz N, Fort Lee, NJ 07024-5911
Phone Number
201-944-0036
Fax Number
201-944-4989
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Bridge Plz N
Fort Lee, NJ 07024-5911
Zip
07024-5911
Phone Number
201-944-0036
Fax Number
201-944-4989
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
201 Bridge Plz N
Fort Lee, NJ 07024-5911
City
Fort Lee
State
NJ
Zip
07024-5911
Phone Number
201-944-0036
Fax Number
201-944-4989

License Information

License Number
20203
License State
NJ
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. Svetlana Bodneva, DDS?

The NPI number of Dr. Svetlana Bodneva, DDS is 1578774436. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Svetlana Bodneva, DDS?

Dr. Svetlana Bodneva, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 20203.

Where does Dr. Svetlana Bodneva, DDS practice?

The practice location is 201 Bridge Plz N, Fort Lee, NJ 07024-5911. The office can be reached at 201-944-0036 (phone) or 201-944-4989 (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 1578774436 directly on the NPPES registry website.

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