Svetlana Stefanovich

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H7641 Issued in OR

Practice address

631 Jason St NE Ste 150
Salem, OR 97301-2357

Phone

(503) 364-3004

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Locations

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

• Nelson and Willis LLC

  • General Practice Dentistry
  • Salem, OR
  • NPI 1225782261
  NPD
• Brock J Nelson DMD LLC

  • Dental Clinic/Center
  • Salem, OR
  • NPI 1104782077
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1164065280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 HORSESHOE CT SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175593",
            "telephone_number": "503-510-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "503-364-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOVICH",
        "first_name": "SVETLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H7641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Christine Steele Schlauderaff, MSN, APRN, FNP-C
• Mara Steele
• Robert Lowell Steele, MD
• Siobhan Nicole Steele
• Taylor Steeves, SLP-CF
• Jodi Renee Steffen, L.M.T.
• Christopher Steffey, DC
• Molly Stehn, LPC
• Christina Steiger Morris, LMFT, CADC III
• Terry B Stein, MS ED QMHP QMRP

• Dental Hygienist in Salem, OR
• Providers in Salem, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.