Gueorgui Ivanov, D.M.D.

General Practice Dentistry · Salem, MA

Individual Active NPI

NPI number 1104922137

Practice location

226 Essex St
Salem, MA 01970-3705
Phone
(978) 744-2480
Fax
(978) 744-2918

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NPI record

NPI
1104922137
Entity type
Individual (Type 1)
Enumeration date
September 16, 2006
Last updated
October 15, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21093 MA

About Dr. Ivanov

Gueorgui Ivanov, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 226 Essex St, Salem, MA 01970-3705. The NPI number 1104922137 was assigned on September 16, 2006 and the record was last updated on October 15, 2013.

Dr. Ivanov lists a license in the registry: #21093 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gueorgui Ivanov, D.M.D.?

The NPI number is 1104922137.

What is the phone number of Dr. Ivanov?

The phone number listed for the practice location is (978) 744-2480.

Where is Dr. Ivanov located?

226 Essex St, Salem, MA 01970-3705.

What is the taxonomy code for Dr. Ivanov?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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