Provider Demographics
NPI:1699553107
Name:SAVITSKAYA, ALINA (DMD)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:SAVITSKAYA
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 1:4643 LINDELL BLVD APT 508
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3731
Mailing Address - Country:US
Mailing Address - Phone:857-231-1889
Mailing Address - Fax:
Practice Address - Street 1:45 E NEWTON ST APT 603
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4808
Practice Address - Country:US
Practice Address - Phone:857-231-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024012326122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist