Joseph William Ivory in Augusta - Oral And Maxillofacial Surgery
Joseph William Ivory - NPI 1184603136
Joseph William Ivory is a Oral And Maxillofacial Surgery in Augusta, Georgia. Joseph William Ivory practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Joseph William Ivory is 1184603136. The last update date is 2019-12-06.
Joseph William Ivory's current location address is 1120 15th St, Augusta, Georgia. You can contact this provider via phone number 7067218623. The mailing address for Joseph William Ivory is 1120 15th St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph William Ivory |
|---|---|
| Address | 1120 15th St, Augusta, Georgia |
| Phone Number | 7067218623 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184603136 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2019-12-06 |
Provider Mailing Address Detail
| Address | 1120 15th St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 30912 |
| Phone Number | 7067218623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DDS08292 |
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Definition: 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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What is the unique identifier code issued to Joseph William Ivory by the Centers for Medicare & Medicaid Services?
The Joseph William Ivory has been assigned the NPI (National Provider Identifier) 1184603136. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joseph William Ivory?
The Joseph William Ivory is situated at 1120 15Th St, in the city of Augusta, state of GA, with the zip code 30912.
What is Joseph William Ivory's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joseph William Ivory is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184603136 to Joseph William Ivory?
The Joseph William Ivory received its 1184603136 assignment from the Centers for Medicare & Medicaid Services on 2006-01-10.
When was the information pertaining to Joseph William Ivory most recently updated or revised?
The details related to Joseph William Ivory, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-06.