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

Dr. Ivan Chicchon

Individual provider General Practice Dentistry · NPI 1407267446

Dr. Ivan Chicchon is a General Practice Dentistry in Stockton, California. Works from 2 locations. Licensed in California and Michigan.

Licensed in
CA, MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3555 Deer Park Dr
Stockton, CA 95219-2377
Phone: (209) 242-2977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Platt Rd Ste 200, Ann Arbor, MI 48104-5149 — (209) 403-5302

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 63231 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901021186 (MI)

Record details

NPI number1407267446
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESNovember 8, 2018
Mailing address3555 Deer Park Dr Ste 160, Stockton, CA 95219-2378

Other providers in Stockton