Organization
N. TYRUS IVEY, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN TYRUS IVEY DDS (PRESIDENT)
(478) 741-0044
Entity
Organization
Contact information
Practice address
1902 FORSYTH ST, SUITE C, MACON, GA 31201-8132
(478) 741-0044
(478) 745-5061
Mailing address
1902 FORSYTH ST, SUITE C, MACON, GA 31201-8132
(478) 741-0044
(478) 745-5061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7326
GA
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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