Provider Demographics
NPI:1770574295
Name:STEINBERG, SVETLANA (DMD)
Entity type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SVETLANA
Other - Middle Name:
Other - Last Name:LIPOVETSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2420
Mailing Address - Country:US
Mailing Address - Phone:732-545-7776
Mailing Address - Fax:732-545-3884
Practice Address - Street 1:127 LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2420
Practice Address - Country:US
Practice Address - Phone:732-545-7776
Practice Address - Fax:732-545-3884
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI20312122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8088705Medicaid