IndividualActive
Deborah Ivanoff
NPI 1699044941 · Dental Assistant · Nome, AK
Provider details
- NPI number
- 1699044941
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 06-029-EFDHA1 (AK)
Specialties & taxonomies
Dental Providers
Practice location
306 West 5th Ave
Nome, AK 99762
Phone: (907) 443-3309
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 966
Nome, AK 99762
Registry dates
- Enumerated
- 2011-12-15
- Last updated
- 2011-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.