Provider Demographics
NPI:1538659149
Name:DOKOVA, ANASTASSIA FILIPOVA (DDS)
Entity Type:Individual
Prefix:
First Name:ANASTASSIA
Middle Name:FILIPOVA
Last Name:DOKOVA
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 1:24 WAYTE RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1630
Mailing Address - Country:US
Mailing Address - Phone:919-627-4748
Mailing Address - Fax:
Practice Address - Street 1:1 COURTHOUSE LN STE 14
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1736
Practice Address - Country:US
Practice Address - Phone:978-458-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-18
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18591321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry