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

Dr. Ivan Ruvinov, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306525944

Dr. Ivan Ruvinov, DDS is a Student in an Organized Health Care Education/Training Program in Mesa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5835 E Still Cir
Mesa, AZ 85206-3618
Phone: (480) 265-8005
Fax: (623) 223-7073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306525944
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address1666 S Dobson Rd Apt 3075, Mesa, AZ 85202-1610

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