Individual
DR. ROBERT SPENCER IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1404 NW WILDWOOD DR, BLUE SPRINGS, MO 64015-6415
(816) 224-0099
Mailing address
1404 NW WILDWOOD DR, BLUE SPRINGS, MO 64015-6415
(816) 224-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013406
MO
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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