Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699044941 Individual Practitioner Female Practitioner

Deborah Ivanoff

Dental Assistant • Nome, AK

Professional Overview & Biography Verified Profile Summary

Deborah Ivanoff is a registered healthcare professional specializing in Dental Assistant in Nome, AK. Practice services are available at 306 WEST 5TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 West 5th Ave

Nome, AK 99762

Telephone 9074433309
Associated Practice Facility / Clinic
🏢 Tundra Kids Dentistry Llc Facility NPI 1487025268

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Nome, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Nome, AK (26 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

State License AK 06-029-EFDHA1

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
06-029-EFDHA1 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Rochelle Ferry , DHAT

Dental Hygienist

NPI 1023385580
NPI 1245648237

Doctor of Dental Surgery

Elsie Pelowook

Dental Therapist

NPI 1356765838
Robert Curtis

Dental Assistant

NPI 1558630921
Jerliyn Turner

Dental Assistant

NPI 1639448004
Aurora Johnson

Dental Hygienist

NPI 1720357197

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2011

Registered at 306 WEST 5TH AVE, NOME, AK 99762 (Tel: 9074433309)

📍
Updated Business Mailing Address December 15, 2011

Registered at PO BOX 966, NOME, AK 99762 (Tel: 9074433309)

👤
Provider Name / Credentials Updated December 15, 2011

Recorded as DEBORAH IVANOFF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2011

Dental Assistant (License #06-029-EFDHA1 in AK)

🟢
Initial NPI Registration & Enumeration December 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699044941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2011
Last Update: December 15, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 966

Nome, AK 99762

Phone: 9074433309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.