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Active NPI 1104969583 Individual Practitioner Male Practitioner

Dr. Valeriy Kostenko , DMD

Dentist - General Practice • Lynn, MA

Professional Overview & Biography Verified Profile Summary

Dr. Valeriy Kostenko, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lynn, MA. Practice services are available at 74 MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

74 Market St

Lynn, MA 019011115

Telephone 7815811411
Fax 7815811433
Associated Practice Facility / Clinic
🏢 Dr.kostenko D.m.d. P.c. Facility NPI 1417127671

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lynn, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
39 Specialists

Practicing in Lynn, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 19585

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0281956 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Yuliya Kostenko , DMD

Dentist - General Practice

NPI 1376837500

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 74 MARKET ST, LYNN, MA 019011115 (Tel: 7815811411)

📍
Updated Business Mailing Address July 09, 2007

Registered at 74 MARKET ST, LYNN, MA 019011115 (Tel: 7815811411)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as VALERIY KOSTENKO, D. M. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #19585 in MA)

🟢
Initial NPI Registration & Enumeration February 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104969583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

74 Market St

Lynn, MA 019011115

Phone: 7815811411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.