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

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