Ivan Pelton
Dentist - General Practice • Wyomissing, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ivan Pelton has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Ivan Pelton was a registered Dentist - General Practice practicing in Wyomissing, PA. Throughout an active medical career spanning 19 years, Ivan Pelton provided care at the practice location at 1301 PENN AVE until profile deactivation on 2025-11-27.
Practice Location & Contact Primary Location
1301 Penn Ave
Wyomissing, PA 196102140
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Wyomissing, PA
Practicing in Wyomissing, PA (4936 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Dentist
Doctor of Dental Medicine
Dentist - Orthodontics and Dentofacial Orthopedics
Doctor of Dental Medicine
Dentist - Orthodontics and Dentofacial Orthopedics
Dentist - Oral and Maxillofacial Surgery
Dentist - General Practice
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 27, 2025
Dentist (License #DN5838 in FL)
NPI status registered as active in NPPES database
Registered at 12558 PINES BLVD, PEMBROKE PINES, FL 330271713 (Tel: (954) 639-6998)
Registered at 12558 PINES BLVD, PEMBROKE PINES, FL 330271713 (Tel: (954) 639-6998)
Recorded as IVAN PELTON
Dentist (License #DN15585 in FL)
NPI status registered as active in NPPES database
Registered at 1301 PENN AVE, WYOMISSING, PA 196102140 (Tel: 6103726313)
Registered at 1301 PENN AVE, WYOMISSING, PA 196102140 (Tel: 6103726313)
Recorded as IVAN PELTON
Dentist (License #DN5838 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1301 Penn Ave
Wyomissing, PA 196102140
Phone: 6103726313
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