DR. GUEORGUI IVANOV (D.M.D.) – General Practice Dentistry, NPI 1104922137

DR. GUEORGUI IVANOV (D.M.D.) is a healthcare provider. based in Salem, Massachusetts. specializing in General Practice Dentistry. They hold the professional credentials D.M.D.. They hold a License No. 21093 (MA). The NPI Number for DR. GUEORGUI IVANOV (D.M.D.) is 1104922137

Main info

Male
Sole Proprietor
Name
DR. GUEORGUI IVANOV (D.M.D.)
NPI
1104922137
Phone
(978) 744-2480
Address
226 ESSEX ST
Enumeration Date
16 September 2006
Last Update Date
15 October 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GUEORGUI IVANOV (D.M.D.)

  • Moons Card & Gift shop, 226, Essex Street, Downtown Salem District, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, MA 019703705

    Phone: (978) 744-2480

    Fax: (978) 744-2918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-14

PECOS data refreshed: 2026-06-15

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01970)

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Reviews

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Frequently asked questions

Is DR. GUEORGUI IVANOV (D.M.D.) listed with a National Provider Identifier?
Yes — DR. GUEORGUI IVANOV (D.M.D.) has NPI 1104922137 on file in the registry.
Would DR. GUEORGUI IVANOV (D.M.D.) appear as active to a payer?
You can treat DR. GUEORGUI IVANOV (D.M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. GUEORGUI IVANOV (D.M.D.)?
DR. GUEORGUI IVANOV (D.M.D.)'s record emphasizes General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. GUEORGUI IVANOV (D.M.D.)?
Travel planning: use Salem, Massachusetts as the reference point for DR. GUEORGUI IVANOV (D.M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. GUEORGUI IVANOV (D.M.D.) is noted as September 16, 2006 where the registry provides it.

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