IndividualActive
David Ivey, DDS
NPI 1851472856 · Oral and Maxillofacial Surgery (Dentist) · Saint Louis, MO
Provider details
- NPI number
- 1851472856
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 012332 (MO)
Practice location
11710 Old Ballas Rd Ste 205
Saint Louis, MO 63141-7076
Phone: (314) 866-6725
Fax: (314) 998-6725
Mailing address
10200 W Main St
Belleville, IL 62223-1408
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.