Alexander Eugene Ivanoff, DDS - Dentist in Sonoma, CA

Alexander Eugene Ivanoff, DDS is a Dentist based in Sonoma, California. Alexander Eugene Ivanoff is licensed to practice in California (license number 26653) and his current practice location is 17776 Highway 12, Sonoma, California. He can be reached at his office (for appointments etc.) via phone at (707) 935-8200.

NPI number for Alexander Eugene Ivanoff is 1013018274 and his current mailing address is 4411 Lovall Valley Road, Sonoma, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013018274.

Contact Information

Alexander Eugene Ivanoff, DDS
17776 Highway 12,
Sonoma, CA 95476-3629
(707) 935-8200
(707) 935-8272



Healthcare Provider's Profile

Full NameAlexander Eugene Ivanoff
GenderMale
SpecialityDentist
Location17776 Highway 12, Sonoma, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013018274
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 05/06/2009

Medical Identifiers

Medical identifiers for Alexander Eugene Ivanoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013018274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 26653 (California)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. Alexander Eugene Ivanoff 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 AddressPractice Location Address
Alexander Eugene Ivanoff, DDS
4411 Lovall Valley Road,
Sonoma, CA 95476-3629

Ph: (707) 938-1510
Alexander Eugene Ivanoff, DDS
17776 Highway 12,
Sonoma, CA 95476-3629

Ph: (707) 935-8200

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› Verified 8 days ago


Dentist in Sonoma, CA

Dr. Julie Neal Forstadt, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 763 Broadway, Sonoma, CA 95476
Phone: 707-938-8528    
Dr. Jad S Elkhoury, DDS, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 248 Perkins St, Sonoma, CA 95476
Phone: 707-938-2155    Fax: 707-935-2142
Dr. Peter K Pang, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 554 3rd St W, Sonoma, CA 95476
Phone: 707-996-3016    Fax: 707-996-2877
Dr. Kristin Devincenzi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 763 Broadway, Sonoma, CA 95476
Phone: 707-938-8528    
Dr. Caroline Anne Laurent, D.M.D., M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 357 Perkins St, Sonoma, CA 95476
Phone: 707-938-5255    
Dr. Daniel Lee Kittleson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 548 3rd St W, Sonoma, CA 95476
Phone: 707-938-3077    

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