Dr. Oleksandr Fedorenko, DMD
Dentist, General Practice in Medford, Massachusetts
1912515313- Practice location
- 366 Salem St, Medford, MA 02155-3307
- Phone
- 781-395-0300
- Fax
- —
- Last updated
- August 4, 2020
Oleksandr Fedorenko is a Dentist, General Practice based in Medford, MA. Oleksandr Fedorenko practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Oleksandr Fedorenko is 1912515313 and holds a License No. DN1858714 (MA). The current practice location address for Oleksandr Fedorenko is 366 Salem St, Medford, MA 02155-3307 and can be reached out via phone at 781-395-0300.
Provider Profile Details
- NPI Number
- 1912515313
- Provider Name
- Oleksandr Fedorenko
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 366 Salem St, Medford, MA 02155-3307
- Phone Number
- 781-395-0300
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2020
- Last Update Date
- August 4, 2020
- Certification Date
- August 4, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 366 Salem St
Medford, MA 02155-3307 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-3307
- Phone Number
- 781-395-0300
Provider Business Mailing Address Details
- Address
- 95 E Brookline St Apt 4
Boston, MA 02118-2357 - City
- Boston
- State
- MA
- Zip
- 02118-2357
- Phone Number
- 860-752-9138
License Information
- License Number
- DN1858714
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Oleksandr Fedorenko, DMD?
The NPI number of Dr. Oleksandr Fedorenko, DMD is 1912515313. It was assigned on July 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Oleksandr Fedorenko, DMD?
Dr. Oleksandr Fedorenko, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858714.
Where does Dr. Oleksandr Fedorenko, DMD practice?
The practice location is 366 Salem St, Medford, MA 02155-3307. The office can be reached at 781-395-0300 (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 1912515313 directly on the NPPES registry website.