Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144409947 Individual Practitioner Male Practitioner

Dr. Bogdan Konstantinov Ivanov , DMD

Dentist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Bogdan Ivanov, DMD is a registered healthcare professional specializing in Dentist in Tampa, FL. Practice services are available at 1105 E KENNEDY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1105 E Kennedy Blvd
Scc Dental Clinic - Hchd

Tampa, FL 336023511

Telephone 3523976186
Fax 8132733721
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
245 Specialists

Practicing in Tampa, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN17920

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Rita Jarvis , ARNP

Nurse Practitioner - Adult Health

NPI 1881985331

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2017

Registered at 1105 E KENNEDY BLVD, SCC DENTAL CLINIC - HCHD, TAMPA, FL 336023511 (Tel: 3523976186)

📍
Updated Business Mailing Address March 31, 2017

Registered at 1105 E KENNEDY BLVD, SCC DENTAL CLINIC - HCHD, TAMPA, FL 336023511 (Tel: 3523976186)

👤
Provider Name / Credentials Updated March 31, 2017

Recorded as BOGDAN IVANOV, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Dentist (License #DN17920 in FL)

NPI Profile Active December 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2012

Registered at 1150 45TH ST, PBCHD DENTAL CLINIC, WEST PALM BEACH, FL 334072361 (Tel: 3523976186)

📍
Updated Business Mailing Address December 28, 2012

Registered at 1150 45TH ST, PBCHD DENTAL CLINIC, WEST PALM BEACH, FL 334072361 (Tel: 3523976186)

👤
Provider Name / Credentials Updated December 28, 2012

Recorded as BOGDAN IVANOV, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2012

Dentist (License #DN17920 in FL)

🟢
Initial NPI Registration & Enumeration October 29, 2007

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: 1144409947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2007
Last Update: March 31, 2017
Sole Proprietor: No

Mailing Address

1105 E Kennedy Blvd, Scc Dental Clinic - Hchd

Tampa, FL 336023511

Phone: 3523976186

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.