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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. IVAN GEORGESE
NPI 1295567212
Dentist in Maumee, OH

Active since August 19, 2024
4359 KEYSTONE DR, MAUMEE, OH 43537(419) 893-0221 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 28, 2026, Aug 19, 2024 (2 updates tracked since 2024).

About Dr. Ivan Georgese NPPES

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

DR. IVAN GEORGESE (NPI 1295567212) is an individual dentist in Maumee, Ohio, licensed in Ohio (30.028276) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1295567212
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. IVAN GEORGESE
Location Address4359 KEYSTONE DRMaumee, OH 43537-8709
Mailing Address8640 Waukegan Rd Unit 531Morton Grove, IL 60053-2226 · (224) 703-7640
Phone(419) 893-0221
Sole ProprietorYes
Enumeration DateAugust 19, 2024
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1295567212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30.028276
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.
4359 KEYSTONE DR, Maumee, OH 43537
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Humana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Georgese's NPI number?

The NPI number for Ivan Georgese is 1295567212. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Ivan Georgese located?

Ivan Georgese practices at 4359 Keystone Dr, Maumee, OH 43537. The listed phone number is (419) 893-0221.

What is Ivan Georgese's specialty?

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

What insurance does Ivan Georgese accept?

Health plans from BEST Life and Humana list Ivan Georgese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Georgese was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.