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General NPI Number Information
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NPI Number | 1659227601
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Entity Type | Organization
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Legal Business Name | BENJAMIN IVAN DMD, PLLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 2400 ARDMORE BLVD STE 402
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City | PITTSBURGH
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State | PA
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Zip | 15221-5299
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Country | US
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Telephone | 412-351-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 150 DANA DR
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City | SEWICKLEY
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State | PA
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Zip | 15143-8383
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Country | US
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Telephone | 419-708-7349
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN IVAN
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Credential | DMD
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Telephone | 419-708-7349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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