Organization
YELENA V. GUTNICHENKO, DMD, P.C.
Active
Other names
Elm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA V GUTNICHENKO D.M.D. (PRESIDENT)
(781) 899-9530
Entity
Organization
Contact information
Practice address
52 ELM ST, WALTHAM, MA 02453-5317
(781) 899-9530
(781) 736-0977
Mailing address
52 ELM ST, WALTHAM, MA 02453-5317
(781) 899-9530
(781) 736-0977
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9732811
—
MA
Enumeration date
02/19/2007
Last updated
09/11/2025
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