David West Ivey in Summerville - Periodontics

David West Ivey - NPI 1104935717

David West Ivey is a Periodontics in Summerville, South Carolina. David West Ivey practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David West Ivey is 1104935717. The last update date is 2007-07-08.

David West Ivey's current location address is 107 West Sixth North Street Suite 102, Summerville, South Carolina. You can contact this provider via phone number 8438716913 and fax number 8438710657. The mailing address for David West Ivey is 107 West Sixth North Street Suite 102, Summerville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name David West Ivey
Address 107 West Sixth North Street Suite 102, Summerville, South Carolina
Phone Number 8438716913
Fax Number 8438710657
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1104935717
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 107 West Sixth North Street Suite 102
City Summerville
State South Carolina (SC)
Post Code 29483
Phone Number 8438716913
Fax Number 8438710657

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 1692
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about David West Ivey

What is the David West Ivey's 1104935717?

The David West Ivey's NPI (National Provider Identifier) Number is 1104935717. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where David West Ivey is physically located?

The David West Ivey is physically situated at the following address: 107 West Sixth North Street Suite 102, Summerville, SC, 29483.

What is David West Ivey's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David West Ivey is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104935717 to David West Ivey?

The David West Ivey received its 1104935717 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.

As of what date was the information regarding David West Ivey, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David West Ivey, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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