Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK NICHOLAS IVANICKI, DDS
Active Sole ProprietorDR. MARK NICHOLAS IVANICKI, DDS is a Dentist healthcare provider located in SANTA ANA, California. NPI 1417921974 is currently active in the NPPES registry. Verify at CMS.
Dentist · SANTA ANA, CA
Registration Details
- NPI Number
- 1417921974
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.317331729913 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33594 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 N TUSTIN AVESUITE 102SANTA ANA, CA, 927053508Browse CA providers · Browse ZIP 92705
- Phone
- 7148352215
- Fax
- 7148354622
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SANTA ANA, CA
| Name | Credential | NPI |
|---|---|---|
| MAILOAN THI HOANG | DDS | 1669466967 |
| JUNG CHUN YANG | DDS | 1609861814 |
| MRS. NANCY MGUYEN DINH | DDS | 1285621508 |
| HAMID ZEHTAB | DMD | 1669404257 |
| JUNYEON KIM | DDS | 1124053475 |
| MR. ZHUANG WEN I | DDS | 1801819065 |
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.