Provider Demographics
NPI:1306288667
Name:ZELENKO, ALEKSEY (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEKSEY
Middle Name:
Last Name:ZELENKO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 OLD FURNACE RD
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-5782
Mailing Address - Country:US
Mailing Address - Phone:864-580-8767
Mailing Address - Fax:
Practice Address - Street 1:2224 OLD FURNACE RD
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-5782
Practice Address - Country:US
Practice Address - Phone:864-580-8767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.8278122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist