Individual provider · Type 1 NPI

Ivan Georgese

Dentist · Maumee, OH

NPI number 1295567212 Active

Practice location

4359 Keystone Dr
Maumee, OH 43537-8709

Mailing address

8640 Waukegan Rd Unit 531
Morton Grove, IL 60053-2226

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X30.028276 (OH)

Dentist: 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 requiremen…

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About NPI 1295567212

Ivan Georgese's National Provider Identifier is 1295567212, issued on Aug 19, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Maumee, OH. The record was last updated on Sep 28, 2026.