Maksim Serebro, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010298 Issued in CT

Practice address

910 Boston Post Rd
West Haven, CT 06516

Phone

(203) 934-3400

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serebro Dental P.C.

  • General Practice Dentistry
  • West Haven, CT
  • NPI 1518259860
  NPD (past) Authorized official
• Bon Dental

  • General Practice Dentistry
  • West Haven, CT
  • NPI 1891281366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1033420666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BOSTON POST RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-934-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BOSTON POST RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-934-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREBRO",
        "first_name": "MAKSIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Wayne Lazarus D.P.M. LLC
• Besnyrose Sebastian, PHARMD
• Renitarul Sebastin, OD
• John Joseph Sellinger, PH.D.
• Serebro Dental P.C.
• Kristin Serowik, PHD
• Christina Ann Setkoski, DPT
• Sevi Cares CT PLLC
• Sevi CT LLC
• Sevi Health CT Clover, PC

• General Practice Dentistry in West Haven, CT
• Providers in West Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.