DR. IVAN CHICCHON NPI 1407267446

NPI Information

NPI: 1407267446
Provider Name: DR. IVAN CHICCHON
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3555 DEER PARK DR
STOCKTON, CA
ZIP 95219
Phone: (209) 242-2977
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DR. Ivan Chicchon is a general practice dentist in Stockton, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Ivan Chicchon NPI is 1407267446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3555 DEER PARK DR
STOCKTON, CA
ZIP 95219-377
Phone: (209) 242-2977

The enumeration date for this NPI number is 5/13/2014 and was last updated on 11/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	63231	CALIFORNIA	Yes
2	1223G0001X	Dentist	General Practice	2901021186	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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