Provider Demographics
NPI:1871863415
Name:PUMPALOV, IVO (DDS)
Entity Type:Individual
Prefix:DR
First Name:IVO
Middle Name:
Last Name:PUMPALOV
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 S PARKER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1629
Mailing Address - Country:US
Mailing Address - Phone:303-309-0220
Mailing Address - Fax:
Practice Address - Street 1:2530 S PARKER RD STE 201
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1629
Practice Address - Country:US
Practice Address - Phone:303-309-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00010696122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist