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Active NPI 1407267446 Individual Practitioner Male Practitioner

Ivan Chicchon

Dentist - General Practice • Stockton, CA

Professional Overview & Biography Verified Profile Summary

Ivan Chicchon is a registered healthcare professional specializing in Dentist - General Practice in Stockton, CA. Practice services are available at 3555 DEER PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3555 Deer Park Dr

Stockton, CA 952192377

Telephone 2092422977
Associated Practice Facility / Clinic
🏢 Wellbound Of Stockton Llc Facility NPI 1144260811

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stockton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
122 Specialists

Practicing in Stockton, CA (18734 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 63231

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901021186

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

2301 Platt Rd Ste 200

Ann Arbor, MI 481045149

Phone: 2094035302

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 08, 2018

Registered at 3555 DEER PARK DR, STOCKTON, CA 952192377 (Tel: 2092422977)

📍
Updated Business Mailing Address November 08, 2018

Registered at 3555 DEER PARK DR STE 160, STOCKTON, CA 952192378 (Tel: 2094035302)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Dentist (License #2901021186 in MI)

NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2014

Registered at 2301 PLATT RD STE 200, ANN ARBOR, MI 481045149 (Tel: 2094035302)

📍
Updated Business Mailing Address May 13, 2014

Registered at 2147 MEDFORD RD APT 21, ANN ARBOR, MI 481044930 (Tel: 2094035302)

👤
Provider Name / Credentials Updated May 13, 2014

Recorded as IVAN CHICCHON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Dentist (License #2901021186 in MI)

🟢
Initial NPI Registration & Enumeration May 13, 2014

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: 1407267446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2014
Last Update: November 08, 2018
Sole Proprietor: No

Mailing Address

3555 Deer Park Dr Ste 160

Stockton, CA 952192378

Phone: 2094035302

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.