Individual provider · Type 1 NPI
Sunny Ivanyi
Advanced Practice Dental Therapist · Glendale, CA
Practice location
3300 Foothill Blvd., Glendale
Glendale, CA 91224
Mailing address
3300 Foothill Blvd, Glendale
Glendale, CA 91224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Dental Therapist Primary | 125K00000X | 265 (CA) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
About NPI 1740411768
Sunny Ivanyi's National Provider Identifier is 1740411768, issued on Aug 7, 2009. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Glendale, CA. The record was last updated on Jun 18, 2010.