Ivanov, Gueorgui

Ivanov, Gueorgui is an sole proprietor health care provider with primary practice located at 226 Essex St , Salem MA 01970-3705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ivanov, Gueorgui can be contacted via phone (978) 744-2480.

Contact Information

Primary practice address
226 Essex St Salem MA 01970-3705
Fax: (978) 744-2918
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21093 Massachusetts

Profile Details

NPI number 1104922137
LBN Legal business name Ivanov, Gueorgui
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Oct 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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