Jeff Igor Slutskiy, DMD
Dentist, General Practice in Heartland, TN. Individual provider (NPI-1).
NPI number1982134193
StatusActive
Last updated in NPPESJun 20, 2017
Details
- NPI
- 1982134193
- Entity type
- Individual (NPI-1)
- Name
- Jeff Igor Slutskiy
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2017
- Last updated
- Jun 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 33009 | TX | Yes |
Other names
- Igor Yakov Slutskiy (Former Name)
Practice location
2049 Sunnybrook DriveHeartland, TN 75126
Phone 972-287-5513
Mailing address
4606 Cedar Springs Rd Apt 812Dallas, TX 75219-7204
Phone 310-430-4823
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