Provider Demographics
NPI:1023008919
Name:SAVCHUK, REGINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:
Last Name:SAVCHUK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1034
Mailing Address - Country:US
Mailing Address - Phone:718-797-2880
Mailing Address - Fax:718-797-2885
Practice Address - Street 1:304 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1034
Practice Address - Country:US
Practice Address - Phone:718-797-2880
Practice Address - Fax:718-797-2885
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0501151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice