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Organization
PETER IVEY LLC
Active
Organization
PETER IVEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER IVEY DDS (OWNER)
(530) 277-3607
Entity
Organization
Contact information
Practice address
555 CORPORATE DR STE 204, KALISPELL, MT 59901-6138
(530) 277-3607
(406) 309-6141
Mailing address
511 4TH AVE E, KALISPELL, MT 59901-4914
(530) 277-3607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193400000X
—
MT
Enumeration date
02/05/2024
Last updated
06/20/2025
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