Dr Ivan Dennis Potocsky, DDS is a
Dentist - General Practice based in Melvindale, Michigan. Dr Ivan Dennis Potocsky is licensed to practice in Michigan (license number 09561) and his current practice location is
3113 Oakwood, Melvindale, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 381-3850.
NPI number for Dr Ivan Dennis Potocsky is 1144401811 and his current mailing address is 3113 Oakwood, Melvindale, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144401811.
Healthcare Provider's Profile
Full Name | Dr Ivan Dennis Potocsky |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 3113 Oakwood, Melvindale, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144401811
- Provider Enumeration Date: 11/21/2007
- Last Update Date: 11/21/2007
Medical Identifiers
Medical identifiers for Dr Ivan Dennis Potocsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144401811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 09561 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ivan Dennis Potocsky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ivan Dennis Potocsky, DDS 3113 Oakwood, Melvindale, MI 48122-1211 Ph: (313) 381-3850 | Dr Ivan Dennis Potocsky, DDS 3113 Oakwood, Melvindale, MI 48122-1211 Ph: (313) 381-3850 |
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