NPI 1902065352 · live from the CMS NPI Registry
Oleg Eduard Eisenstein, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Roswell, GA. National Provider Identifier 1902065352, active.
NPI record
| NPI | 1902065352 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 215 Arbor Creek Way, Roswell, GA 30076 |
| Practice phone | 770-475-0638 |
| Enumerated | June 2, 2008 |
| Last updated | August 4, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN012526 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.