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NPI Code Detail

MEDICARE: BENJAMIN IVAN DMD, PLLC

MEDICARE: BENJAMIN IVAN DMD, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1659227601
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENJAMIN IVAN DMD, PLLC
Provider Business Mailing Address
First Line : 150 DANA DR
Second Line :
City : SEWICKLEY
State : PA
Zip : 15143-8383
Country : US
Telephone Number : 419-708-7349
Fax Number :
Provider Business Practice Location Address
First Line : 2400 ARDMORE BLVD STE 402
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-5299
Country : US
Telephone Number : 412-351-3757
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. BENJAMIN IVAN
Credential : DMD
Telephone Number : 419-708-7349
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “BENJAMIN IVAN DMD, PLLC ” Practice Location

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