Pelton, Ivan

Pelton, Ivan is an individual health care provider with primary practice located at 12558 Pines Blvd , Pembroke Pines FL 33027-1713. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Pelton, Ivan can be contacted via phone (954) 639-6998.

Contact Information

Primary practice address
12558 Pines Blvd Pembroke Pines FL 33027-1713
Phone: (954) 639-6998
Fax: (754) 206-4282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN5838 Florida
Dental Providers / Endodontics 1223E0200X DN15585 Florida

Profile Details

NPI number 1235243189
LBN Legal business name Pelton, Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235243189 NPPES
Florida Other 1730203100 DMD

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