Active NPIIndividual provider

Dr. Ivan G Georgiev, DMD

Dentist, Oral and Maxillofacial Surgery in Paterson, New Jersey

NPI Number1508206533
Practice location
703 Main St, Omfs Clinic, Paterson, NJ 07503-2621
Fax
—
Last updated
July 5, 2013

Ivan Georgiev Georgiev is a Dentist, Oral and Maxillofacial Surgery based in Paterson, NJ. Ivan Georgiev Georgiev practices in Paterson, NJ and has the professional credentials of DMD. The NPI Number for Ivan Georgiev Georgiev is 1508206533 and holds a License No. 22DR02616 (NJ). The current practice location address for Ivan Georgiev Georgiev is 703 Main St, Omfs Clinic, Paterson, NJ 07503-2621 and can be reached out via phone at 973-754-2288.

Provider Profile Details

NPI Number
1508206533
Provider Name
Ivan Georgiev Georgiev
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
703 Main St, Omfs Clinic, Paterson, NJ 07503-2621
Phone Number
973-754-2288
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2013
Last Update Date
July 5, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
703 Main St
Omfs Clinic
Paterson, NJ 07503-2621
Zip
07503-2621
Phone Number
973-754-2288
Paterson, NJ 07503Get directions →

Provider Business Mailing Address Details

Address
9-12 Henderson Blvd
1ST. Fl.
Fair Lawn, NJ 07410-1536
City
Fair Lawn
State
NJ
Zip
07410-1536
Phone Number
201-847-1365

License Information

License Number
22DR02616
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Ivan G Georgiev, DMD?

The NPI number of Dr. Ivan G Georgiev, DMD is 1508206533. It was assigned on July 5, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan G Georgiev, DMD?

Dr. Ivan G Georgiev, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DR02616.

Where does Dr. Ivan G Georgiev, DMD practice?

The practice location is 703 Main St, Omfs Clinic, Paterson, NJ 07503-2621. The office can be reached at 973-754-2288 (phone).

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 1508206533 directly on the NPPES registry website.

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