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DR. YELENA VINOGRADOV DMD
NPI 1164593794
Dentist - General Practice in Philadelphia, PA

Active since November 13, 2006
8539 BUSTLETON AVE, PHILADELPHIA, PA 19152(215) 342-5750(215) 646-6166 Get Directions Write a Review

NPPES record last updated: February 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yelena Vinogradov Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YELENA VINOGRADOV DMD (NPI 1164593794) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS030310-L) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1164593794
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. YELENA VINOGRADOVCredential: DMD
Location Address8539 BUSTLETON AVEPhiladelphia, PA 19152-1203
Mailing Address401 Commerce Dr, Suite 108Fort Washington, PA 19034-2714 · (215) 342-5750 · Fax (215) 646-6166
Phone(215) 342-5750
Fax(215) 646-6166
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 15, 2013
✔ NPI 1164593794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS030310-L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8539 BUSTLETON AVE, Philadelphia, PA 19152
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Other Identifiers 2

Medicaid001975883PA
Medicare ID-Type Unspecified001975883PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A-1 FAMILY DENTAL CARE P.C.
Dentist (General Practice)
8539 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 342-5740
DR. TANIA WEI-QI LIAO DMD
Dentist (General Practice)
8539 BUSTLETON AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 342-5740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yelena Vinogradov's NPI number?

The NPI number for Yelena Vinogradov is 1164593794. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Yelena Vinogradov located?

Yelena Vinogradov practices at 8539 Bustleton Ave, Philadelphia, PA 19152. The listed phone number is (215) 342-5750.

What is Yelena Vinogradov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Yelena Vinogradov accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, BEST Life and Blue Cross and Blue Shield of Alabama and 9 other insurers list Yelena Vinogradov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yelena Vinogradov was last updated on February 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.