Provider Demographics
NPI:1285087080
Name:ELLENIKIOTIS, HELLENE ELENI (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:HELLENE
Middle Name:ELENI
Last Name:ELLENIKIOTIS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20514 SARATOGA LOS GATOS RD STE A
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5970
Mailing Address - Country:US
Mailing Address - Phone:408-872-1900
Mailing Address - Fax:
Practice Address - Street 1:20514 SARATOGA LOS GATOS RD STE A
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5970
Practice Address - Country:US
Practice Address - Phone:408-872-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1004061223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice