Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivanov Miami Lakes PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1245038462

Ivanov Miami Lakes PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Miami Lakes, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16375 NW 67th Ave
Miami Lakes, FL 33014-6044
Phone: (786) 946-0005
Fax: (786) 946-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1245038462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pavel Ivanov — President · (954) 240-4016
Other names Ivanov Orthodontics
NPI enumeratedMarch 4, 2025
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address16375 Nw 67th Ave, Miami Lakes, FL 33014-6044

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