Ivory, Joseph William

Ivory, Joseph William is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ivory, Joseph William can be contacted via phone (706) 721-8623.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912
Phone: (706) 721-8623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS08292 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS08292 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DNF000430 Georgia

Profile Details

NPI number 1184603136
LBN Legal business name Ivory, Joseph William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Dec 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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