IVAN F PACHECO DMD
NPI 1073553632
Dentist in Tuba City, AZ

Q: What is Ivan Pacheco's NPI number?

The NPI number for Ivan Pacheco is 1073553632. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Ivan Pacheco's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Pacheco was last updated on March 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2006

167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: March 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ivan F Pacheco Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN F PACHECO DMD (NPI 1073553632) is an individual dentist in Tuba City, Arizona, licensed in Arizona (D6669) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073553632

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameIVAN F PACHECOCredential: DMD

Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600, 167 North Main StreetTuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677

Phone(928) 283-2501

Fax(928) 283-2677

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateMarch 31, 2009

✔ NPI 1073553632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D6669

Definition

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.

167 NORTH MAIN STREET, Tuba City, AZ 86045

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Other Identifiers 1

Medicaid687709AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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