Provider Demographics
NPI:1689093387
Name:SHLANSKY, ELANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELANA
Middle Name:
Last Name:SHLANSKY
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 1:1120 HALESWORTH DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6180
Mailing Address - Country:US
Mailing Address - Phone:301-806-2289
Mailing Address - Fax:
Practice Address - Street 1:1430 K ST NW STE 800
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2526
Practice Address - Country:US
Practice Address - Phone:202-223-6630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN100855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist