Dr. Gueorgui Ivanov, DMD
Dentist, General Practice in Salem, Massachusetts
1104922137- Practice location
- 226 Essex St, Salem, MA 01970-3705
- Phone
- 978-744-2480
- Fax
- 978-744-2918
- Last updated
- October 15, 2013
Gueorgui Ivanov is a Dentist, General Practice based in Salem, MA. Gueorgui Ivanov practices in Salem, MA and has the professional credentials of DMD. The NPI Number for Gueorgui Ivanov is 1104922137 and holds a License No. 21093 (MA). The current practice location address for Gueorgui Ivanov is 226 Essex St, Salem, MA 01970-3705 and can be reached out via phone at 978-744-2480 and via fax at 978-744-2918.
Provider Profile Details
- NPI Number
- 1104922137
- Provider Name
- Gueorgui Ivanov
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 226 Essex St, Salem, MA 01970-3705
- Phone Number
- 978-744-2480
- Fax Number
- 978-744-2918
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 16, 2006
- Last Update Date
- October 15, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 226 Essex St
Salem, MA 01970-3705 - City
- Salem
- State
- Massachusetts
- Zip
- 01970-3705
- Phone Number
- 978-744-2480
- Fax Number
- 978-744-2918
Provider Business Mailing Address Details
- Address
- 226 Essex St
Salem, MA 01970-3705 - City
- Salem
- State
- MA
- Zip
- 01970-3705
- Phone Number
- 978-744-2480
- Fax Number
- 978-744-2918
License Information
- License Number
- 21093
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gueorgui Ivanov, DMD?
The NPI number of Dr. Gueorgui Ivanov, DMD is 1104922137. It was assigned on September 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Gueorgui Ivanov, DMD?
Dr. Gueorgui Ivanov, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21093.
Where does Dr. Gueorgui Ivanov, DMD practice?
The practice location is 226 Essex St, Salem, MA 01970-3705. The office can be reached at 978-744-2480 (phone) or 978-744-2918 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104922137 directly on the NPPES registry website.