Ivan Soberanes, DMD

Dentist · Brunswick, ME

Individual Active NPI

NPI number 1215385976

Practice location

27 Baribeau Dr
Brunswick, ME 04011-2929
Phone
(207) 729-6531

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NPI record

NPI
1215385976
Entity type
Individual (Type 1)
Enumeration date
June 2, 2016
Last updated
January 23, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DEN4485 ME

About Dr. Soberanes

Ivan Soberanes, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 27 Baribeau Dr, Brunswick, ME 04011-2929. The NPI number 1215385976 was assigned on June 2, 2016 and the record was last updated on January 23, 2019.

Dr. Soberanes lists a license in the registry: #DEN4485 (ME) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan Soberanes, DMD?

The NPI number is 1215385976.

What is the phone number of Dr. Soberanes?

The phone number listed for the practice location is (207) 729-6531.

Where is Dr. Soberanes located?

27 Baribeau Dr, Brunswick, ME 04011-2929.

What is the taxonomy code for Dr. Soberanes?

The primary taxonomy code is 122300000X – Dentist.

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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