DAVID M IVEY DDS PC NPI 1912019290

NPI Information

  • NPI: 1912019290
  • Provider Name: DAVID M IVEY DDS PC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: ONE MID RIVERS MALL DR
    STE 310
    ST PETERS, MO
    ZIP 63376
  • Phone: (636) 928-7217

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NPI Details

DAVID M IVEY DDS PC is an oral maxillofacial surgery in St Peters, MO. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DAVID M IVEY DDS PC NPI is 1912019290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

ONE MID RIVERS MALL DR
STE 310
ST PETERS, MO
ZIP 63376-323
Phone: (636) 928-7217
Fax: (636) 397-1137

The provider's authorized official is David M Ivey .
The authorized official title is President and has the following contact phone number (636) 928-7217.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery012332MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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