Stabnikov, Boris
Stabnikov, Boris is an sole proprietor health care provider with primary practice located at 150 Social St Suite 2, Woonsocket RI 02895-3133. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stabnikov, Boris can be contacted via phone (401) 597-5077.Contact Information
Primary practice address
150 Social St Suite 2
Woonsocket RI 02895-3133
Phone: (401) 597-5077
Fax: (401) 597-5077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN02619 | Rhode Island |
| Dental Providers / General Practice | 1223G0001X | 19214 | Massachusetts |
Profile Details
| NPI number | 1760510044 |
|---|---|
| LBN Legal business name | Stabnikov, Boris |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760510044 | NPPES |
| Massachusetts | Other | 0280283 | MASS HEALTH |
| Massachusetts | Other | 8055-2 | MASS HEALTH |
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