Ivan Yancarlo Mendoza, DMD is a
Dentist based in South Walpole, Massachusetts. Ivan Yancarlo Mendoza is licensed to practice in Massachusetts (license number DN1858166) and his current practice location is
178 Summer St, South Walpole, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(305) 766-7626.
NPI number for Ivan Yancarlo Mendoza is 1811467376 and his current mailing address is 178 Summer St, South Walpole, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811467376.
Healthcare Provider's Profile
Full Name | Ivan Yancarlo Mendoza |
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Gender | Male |
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Speciality | Dentist |
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Location | 178 Summer St, South Walpole, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811467376
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 11/27/2018
Medical Identifiers
Medical identifiers for Ivan Yancarlo Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811467376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN1858166 (Massachusetts) | 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. Ivan Yancarlo Mendoza 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 |
Ivan Yancarlo Mendoza, DMD 178 Summer St, South Walpole, MA 02071-1044 Ph: (305) 766-7626 | Ivan Yancarlo Mendoza, DMD 178 Summer St, South Walpole, MA 02071-1044 Ph: (305) 766-7626 |
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