Individual provider · Type 1 NPI
Elena Stavisky, DMD
Pediatric Dentistry · Haddon Township, NJ
NPI number
1477586436
Active
Practice location
341 Haddon Ave
Haddon Township, NJ 08108-2824
Fax (856) 833-1162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1477586436
Elena Stavisky, DMD's National Provider Identifier is 1477586436, issued on Jul 9, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Haddon Township, NJ. The record was last updated on Jul 8, 2007.