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

Ivan Pak, DDS

Individual provider Endodontics · NPI 1134629900

Ivan Pak, DDS is an Endodontics in Garden City, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
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

520 Franklin Ave Ste 112
Garden City, NY 11530-5814
Phone: (516) 746-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 062441 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134629900
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 18, 2018
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address27005 76th Ave, New Hyde Park, NY 11040-1402

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