YELENA V. GUTNICHENKO, DMD, P.C. (NPI# 1669516993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669516993 |
| Entity Type | Organization |
| Organization Name | YELENA V. GUTNICHENKO, DMD, P.C. |
| Other Organization Name | ELM DENTAL |
| Practice Address |
52 Elm St Waltham MA 02453-5317 |
| Practice Telephone | 7818999530 |
| Practice Fax Number | 7817360977 |
| Mailing Telephone | 7818999530 |
| Mailing Fax Number | 7817360977 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. YELENA V GUTNICHENKO (PRESIDENT) |
| Authorized Official Telephone | 7818999530 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| X | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9732811 | 05 |
| Other Name | Type Code |
|---|---|
| Elm Dental | Doing Business As Name - Organization |
| Street Address |
52 ELM ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124454665 | Rachel Mckee | Dentist | 271 Waverley Oaks Rd, Suite #101, Waltham, MA 02452-8469 | 2013-09-16 |
| 1619230364 | Premier Endodontics LLC | Dentist | 271 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8475 | 2012-06-18 |
| 1730101650 | Bernard Charles Maloney Jr. | Dentist | 556 Main Street, Waltham, MA 02452 | 2006-07-24 |
| 1467082289 | Adela Agolli Tarshi, D.m.d., P.C. | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2020-01-21 |
| 1124548060 | Kathleen Molgaard | Dentist | 271 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8475 | 2017-06-21 |
| 1811019250 | Allison Gaye Ritch | Dentist | 40 2nd Ave, Suite 500 Mass General West, Waltham, MA 02451-1132 | 2007-04-05 |
| 1982739371 | Fereidoun Agha-razi | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.