Provider Demographics
NPI:1588349542
Name:HELLGE, OKSANA VLADIMIROVNA (DMD)
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:VLADIMIROVNA
Last Name:HELLGE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20875 N PIMA RD STE C2
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-9194
Mailing Address - Country:US
Mailing Address - Phone:623-223-8881
Mailing Address - Fax:623-223-8410
Practice Address - Street 1:20875 N PIMA RD STE C2
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-9194
Practice Address - Country:US
Practice Address - Phone:623-223-8881
Practice Address - Fax:623-223-8410
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0118621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice