Organization
DAVID M IVEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M IVEY DDS (PRESIDENT)
(636) 928-7217
Entity
Organization
Contact information
Practice address
ONE MID RIVERS MALL DR, STE 310, ST PETERS, MO 63376-4323
(636) 928-7217
(636) 397-1137
Mailing address
ONE MID RIVERS MALL DR, STE 310, ST PETERS, MO 63376-4323
(636) 928-7217
(636) 397-0223
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
012332
MO
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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