Provider Demographics
NPI:1265680029
Name:POPKOVA, YELENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YELENA
Middle Name:
Last Name:POPKOVA
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 1:32 DANIEL WEBSTER HWY
Mailing Address - Street 2:SUITE #13
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4823
Mailing Address - Country:US
Mailing Address - Phone:603-595-9400
Mailing Address - Fax:603-598-6650
Practice Address - Street 1:32 DANIEL WEBSTER HWY
Practice Address - Street 2:SUITE #13
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4823
Practice Address - Country:US
Practice Address - Phone:603-595-9400
Practice Address - Fax:603-598-6650
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH042041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice