Active NPIIndividual providerSole proprietor

Dr. Ivan K Nedeltchev, DDS

Dentist, Endodontics in Ridgefield, Connecticut

NPI Number1871742643
Practice location
22 Prospect St, Ridgefield, CT 06877-4510
Fax
203-403-3330
Last updated
October 15, 2014

Ivan Kamenov Nedeltchev is a Dentist, Endodontics based in Ridgefield, CT. Ivan Kamenov Nedeltchev practices in Ridgefield, CT and has the professional credentials of DDS. The NPI Number for Ivan Kamenov Nedeltchev is 1871742643 and holds a License No. 57547 (CA). The current practice location address for Ivan Kamenov Nedeltchev is 22 Prospect St, Ridgefield, CT 06877-4510 and can be reached out via phone at 203-244-5308 and via fax at 203-403-3330.

Provider Profile Details

NPI Number
1871742643
Provider Name
Ivan Kamenov Nedeltchev
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
22 Prospect St, Ridgefield, CT 06877-4510
Phone Number
203-244-5308
Fax Number
203-403-3330
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2008
Last Update Date
October 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Prospect St
Ridgefield, CT 06877-4510
Zip
06877-4510
Phone Number
203-244-5308
Fax Number
203-403-3330
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
22 Prospect St
Ridgefield, CT 06877-4510
City
Ridgefield
State
CT
Zip
06877-4510
Phone Number
203-244-5308
Fax Number
203-403-3330

License Information

License Number (1)
57547
License State (1)
CA
Taxonomy (1)
Dentist, Endodontics · 1223E0200X
License Number (2)
011196
License State (2)
CT
Taxonomy (2)
Dentist, Endodontics · 1223E0200X · 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 K Nedeltchev, DDS?

The NPI number of Dr. Ivan K Nedeltchev, DDS is 1871742643. It was assigned on September 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan K Nedeltchev, DDS?

Dr. Ivan K Nedeltchev, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in CA under license number 57547.

Where does Dr. Ivan K Nedeltchev, DDS practice?

The practice location is 22 Prospect St, Ridgefield, CT 06877-4510. The office can be reached at 203-244-5308 (phone) or 203-403-3330 (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 1871742643 directly on the NPPES registry website.

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