Ivan Y Mendoza, DMD
Dentist in South Walpole, Massachusetts
1811467376- Practice location
- 178 Summer St, South Walpole, MA 02071-1044
- Phone
- 305-766-7626
- Fax
- —
- Last updated
- November 27, 2018
Ivan Yancarlo Mendoza is a Dentist based in South Walpole, MA. Ivan Yancarlo Mendoza practices in South Walpole, MA and has the professional credentials of DMD. The NPI Number for Ivan Yancarlo Mendoza is 1811467376 and holds a License No. DN1858166 (MA). The current practice location address for Ivan Yancarlo Mendoza is 178 Summer St, South Walpole, MA 02071-1044 and can be reached out via phone at 305-766-7626.
Provider Profile Details
- NPI Number
- 1811467376
- Provider Name
- Ivan Yancarlo Mendoza
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 178 Summer St, South Walpole, MA 02071-1044
- Phone Number
- 305-766-7626
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 27, 2018
- Last Update Date
- November 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 178 Summer St
South Walpole, MA 02071-1044 - City
- South Walpole
- State
- Massachusetts
- Zip
- 02071-1044
- Phone Number
- 305-766-7626
Provider Business Mailing Address Details
- Address
- 178 Summer St
South Walpole, MA 02071-1044 - City
- South Walpole
- State
- MA
- Zip
- 02071-1044
- Phone Number
- 305-766-7626
License Information
- License Number
- DN1858166
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near South Walpole, MA
View all Dentists in South Walpole →Frequently Asked Questions
What is the NPI number of Ivan Y Mendoza, DMD?
The NPI number of Ivan Y Mendoza, DMD is 1811467376. It was assigned on November 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Ivan Y Mendoza, DMD?
Ivan Y Mendoza, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858166.
Where does Ivan Y Mendoza, DMD practice?
The practice location is 178 Summer St, South Walpole, MA 02071-1044. The office can be reached at 305-766-7626 (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 1811467376 directly on the NPPES registry website.