Active NPIIndividual providerSole proprietor

Eleni Mavrakis, DMD

Dentist, Pediatric Dentistry in Bronx, New York

NPI Number1710370218
Practice location
111 E 210TH St, Bronx, NY 10467-2401
Fax
—
Last updated
March 9, 2015

Eleni Mavrakis is a Dentist, Pediatric Dentistry based in Bronx, NY. Eleni Mavrakis practices in Bronx, NY and has the professional credentials of DMD. The NPI Number for Eleni Mavrakis is 1710370218 and holds a License No. 22DI02592600 (NJ). The current practice location address for Eleni Mavrakis is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-4321.

Provider Profile Details

NPI Number
1710370218
Provider Name
Eleni Mavrakis
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
111 E 210TH St, Bronx, NY 10467-2401
Phone Number
718-920-4321
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2015
Last Update Date
March 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 E 210TH St
Bronx, NY 10467-2401
City
Bronx
Zip
10467-2401
Phone Number
718-920-4321
Bronx, NY 10467Get directions →

Provider Business Mailing Address Details

Address
524 Bluff RD
Fort Lee, NJ 07024-1543
City
Fort Lee
State
NJ
Zip
07024-1543
Phone Number
201-886-7162

License Information

License Number
22DI02592600
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Eleni Mavrakis, DMD?

The NPI number of Eleni Mavrakis, DMD is 1710370218. It was assigned on March 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Eleni Mavrakis, DMD?

Eleni Mavrakis, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02592600.

Where does Eleni Mavrakis, DMD practice?

The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-4321 (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 1710370218 directly on the NPPES registry website.

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