Individual
DR. JOSEPH WILLIAM IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS08292
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS08292
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DNF000430
GA
Other
Enumeration date
01/10/2006
Last updated
12/06/2019
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