Elm Dental is a Endodontics Clinic in Waltham, Massachusetts. It is located at 52 Elm St, Waltham, MA and its contact number is 781-899-9530. The authorized person for Elm Dental is Dr. Yelena V Gutnichenko
who is President of the clinic and their contact number is 781-899-9530. Elm Dental Clinic deals with 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.
Complete Clinic Profile:
Elm Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Elm Dental
Specialization:
Endodontics
Clinic Address:
52 Elm St, Waltham, Massachusetts, 02453-5317
Phone:
781-899-9530
Fax:
781-736-0977
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Yelena V Gutnichenko
Position:
President
Contact Number:
781-899-9530
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Elm Dental clinic are as mentioned below.
NPI Number:
1669516993
NPI Enumeration Date:
19 Feb, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elm Dental are as mentioned below.
Specialization
License Number
State
Status
Periodontics
Primary
Endodontics
Secondary
General Practice
Secondary
Periodontics
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9732811
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Elm Dental 52 Elm St, Waltham, Massachusetts
Zip:
02453-5317
Phone Number:
781-899-9530
Fax Number:
781-736-0977
Patients can reach Elm Dental at 52 Elm St, Waltham, Massachusetts or can call to book an appointment on 781-899-9530. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.