Provider Demographics
NPI:1053576520
Name:NATALYA YANTOVSKY DMD
Entity type:Organization
Organization Name:NATALYA YANTOVSKY DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:YANTOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-447-7600
Mailing Address - Street 1:188 EAST ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5362
Mailing Address - Country:US
Mailing Address - Phone:413-447-7600
Mailing Address - Fax:413-447-7601
Practice Address - Street 1:188 EAST ST STE 202
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5362
Practice Address - Country:US
Practice Address - Phone:413-447-7600
Practice Address - Fax:413-447-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA191181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty