Individual provider · Type 1 NPI

David M. Ivey, DDS

Oral and Maxillofacial Surgery (Dentist) · St. Louis, MO

NPI number 1851472856 Active

Practice location

11710 Old Ballas Rd Ste 205
St. Louis, MO 63141-7076

Fax (314) 998-6725

Mailing address

10200 W Main St
Belleville, IL 62223-1408

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X012332 (MO)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12332 (MO)

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 1851472856

David M. Ivey, DDS's National Provider Identifier is 1851472856, issued on Oct 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Louis, MO. The record was last updated on Feb 29, 2024.