Active NPIIndividual provider

Alissa Selevan, DMD

Dentist in Bayonne, New Jersey

NPI Number1730443250
Practice location
803 Kennedy Blvd, Bayonne, NJ 07002-5835
Fax
—
Last updated
December 21, 2021

Alissa Selevan is a Dentist based in Bayonne, NJ. Alissa Selevan practices in Bayonne, NJ and has the professional credentials of DMD. The NPI Number for Alissa Selevan is 1730443250 and holds a License No. 056383 (NY). The current practice location address for Alissa Selevan is 803 Kennedy Blvd, Bayonne, NJ 07002-5835 and can be reached out via phone at 201-339-6604.

Provider Profile Details

NPI Number
1730443250
Provider Name
Alissa Selevan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
803 Kennedy Blvd, Bayonne, NJ 07002-5835
Phone Number
201-339-6604
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2012
Last Update Date
December 21, 2021
Certification Date
December 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
803 Kennedy Blvd
Bayonne, NJ 07002-5835
Zip
07002-5835
Phone Number
201-339-6604
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
803 Kennedy Blvd
Bayonne, NJ 07002-5835
City
Bayonne
State
NJ
Zip
07002-5835

License Information

License Number (1)
056383
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02503900
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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 Alissa Selevan, DMD?

The NPI number of Alissa Selevan, DMD is 1730443250. It was assigned on June 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Alissa Selevan, DMD?

Alissa Selevan, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 056383.

Where does Alissa Selevan, DMD practice?

The practice location is 803 Kennedy Blvd, Bayonne, NJ 07002-5835. The office can be reached at 201-339-6604 (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 1730443250 directly on the NPPES registry website.

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