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

Individual provider Dental Hygienist · NPI 1134863343

Nichole Ivanov, RDH, BS is a Dental Hygienist in Charlevoix, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

220 W Garfield Ave
Charlevoix, MI 49720-1631
Phone: (231) 547-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X

Record details

NPI number1134863343
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH , BS
Sole proprietorYes
NPI enumeratedApril 24, 2022
Last updated in NPPESApril 24, 2022
Certification dateApril 24, 2022

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