Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVAN DENNIS POTOCSKY, DDS
Active Sole ProprietorDR. IVAN DENNIS POTOCSKY, DDS is a General Dentistry healthcare provider located in MELVINDALE, Michigan. NPI 1144401811 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MELVINDALE, MI
Registration Details
- NPI Number
- 1144401811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2007 (18.742123873853 yrs)
- Last Updated
- Nov 21, 2007
- License
-
09561 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3113 OAKWOODMELVINDALE, MI, 481221211Browse MI providers · Browse ZIP 48122
- Phone
- 3133813850
- Fax
- 3133890046
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.