Individual provider · Type 1 NPI

Joseph William Ivory, DDS

Oral and Maxillofacial Surgery (Dentist) · Augusta, GA

NPI number 1184603136 Active

Practice location

1120 15th St
Augusta, GA 30912

Call (706) 721-8623 Map

Mailing address

1120 15th St Ste BI1056
Augusta, GA 30912-0004

Other practice locations

  • Bldg 38801 Academic Dr, Suite B & C, Fort Gordon, GA 30905-5660 · (706) 787-2601
  • Bldg 38801 Academic Dr, Suite B & C, Fort Gordon, GA 30905-5660 · (706) 787-2601

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS08292 (IA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDDS08292 (IA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDNF000430 (GA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1184603136

Joseph William Ivory, DDS's National Provider Identifier is 1184603136, issued on Jan 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Augusta, GA. The record was last updated on Dec 6, 2019.