Active NPIIndividual providerSole proprietor

Yelena Shabala, DDS

Dentist, General Practice in Bronx, New York

NPI Number1821130329
Practice location
1537 Westchester Ave, Bronx, NY 10472-2908
Fax
—
Last updated
July 8, 2007

Yelena Shabala is a Dentist, General Practice based in Bronx, NY. Yelena Shabala practices in Bronx, NY and has the professional credentials of DDS. The NPI Number for Yelena Shabala is 1821130329 and holds a License No. 22DI02335700 (NY). The current practice location address for Yelena Shabala is 1537 Westchester Ave, Bronx, NY 10472-2908 and can be reached out via phone at 718-617-0624.

Provider Profile Details

NPI Number
1821130329
Provider Name
Yelena Shabala
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1537 Westchester Ave, Bronx, NY 10472-2908
Phone Number
718-617-0624
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1537 Westchester Ave
Bronx, NY 10472-2908
City
Bronx
Zip
10472-2908
Phone Number
718-617-0624
Bronx, NY 10472Get directions →

Provider Business Mailing Address Details

Address
9 Spruce St Apt 5
Jersey City, NJ 07306-3529
City
Jersey City
State
NJ
Zip
07306-3529
Phone Number
201-792-7479

License Information

License Number
22DI02335700
License State
NY
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 Yelena Shabala, DDS?

The NPI number of Yelena Shabala, DDS is 1821130329. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Yelena Shabala, DDS?

Yelena Shabala, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 22DI02335700.

Where does Yelena Shabala, DDS practice?

The practice location is 1537 Westchester Ave, Bronx, NY 10472-2908. The office can be reached at 718-617-0624 (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 1821130329 directly on the NPPES registry website.

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