Individual provider · Type 1 NPI

Elena Lissina, DDS, PhD

General Practice Dentistry · Bronx, NY

NPI number 1114447588 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Mailing address

352 W 117th St Apt 4B
New York, NY 10026-1558

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0601311 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114447588

Elena Lissina, DDS, PhD's National Provider Identifier is 1114447588, issued on Jun 26, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bronx, NY. The record was last updated on Oct 25, 2019.