# IVEY DDS AND ROSENTHAL DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ORAL & MAXILLO-FACIAL SURGERY AT THE CROSSING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861618811
- **Authorized official:** DR. DAVID M IVEY DDS (PRESIDENT)
- **Authorized official phone:** (636) 887-3100

## Contact information

- **Practice address:** 853 MEDICAL DR, STE 115, WENTZVILLE, MO 63385
- **Practice address phone:** (636) 887-3100
- **Practice address fax:** (636) 887-3102
- **Mailing address:** 853 MEDICAL DR, STE 115, WENTZVILLE, MO 63385
- **Mailing address phone:** (636) 887-3100
- **Mailing address fax:** (636) 887-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/22/2020