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

Ivan Yancarlo Mendoza, DMD

Individual provider Dentist · NPI 1811467376

Ivan Yancarlo Mendoza, DMD is a Dentist in South Walpole, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

178 Summer St
South Walpole, MA 02071-1044
Phone: (305) 766-7626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1858166 (MA)

Record details

NPI number1811467376
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 27, 2018
Last updated in NPPESNovember 27, 2018