DR. OLEKSANDR FEDORENKO DMD
NPI 1912515313
Dentist - General Practice in Medford, MA

Active since July 21, 2020
366 SALEM ST, MEDFORD, MA 02155(781) 395-0300 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2020, Jul 21, 2020 (2 updates tracked since 2020).

About Dr. Oleksandr Fedorenko Dmd NPPES

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

DR. OLEKSANDR FEDORENKO DMD (NPI 1912515313) is an individual general practice provider in Medford, Massachusetts, licensed in Massachusetts (DN1858714) and active in the NPI registry since July 2020. He maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1912515313
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OLEKSANDR FEDORENKOCredential: DMD
Location Address366 SALEM STMedford, MA 02155-3307
Mailing Address95 E Brookline St Apt 4Boston, MA 02118-2357 · (860) 752-9138
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
NPI 1912515313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · DN1858714
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.

366 SALEM ST, Medford, MA 02155

Secondary Practice Location 1

Location 195 E Brookline St Apt 4Boston, MA 02118-2357 · Phone (860) 752-9138

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
366 SALEM ST
MEDFORD, MA 02155
Dentist (General Practice)
366 SALEM ST
MEDFORD, MA 02155
Clinic/Center (Dental)
366 SALEM ST
MEDFORD, MA 02155
Dentist (General Practice)
366 SALEM ST
MEDFORD, MA 02155

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 Oleksandr Fedorenko's NPI number?

The NPI number for Oleksandr Fedorenko is 1912515313. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Oleksandr Fedorenko located?

Oleksandr Fedorenko practices at 366 Salem St, Medford, MA 02155. The listed phone number is (781) 395-0300.

What is Oleksandr Fedorenko's specialty?

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

When was this NPI record last updated?

The NPPES record for Oleksandr Fedorenko was last updated on August 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.