ROGER THOMAS IVEY DDS. NPI 1073532727

NPI Information

NPI: 1073532727
Provider Name: ROGER THOMAS IVEY, DDS.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1875 BOGGY CREEK RD
KISSIMMEE, FL
ZIP 34744
Phone: (407) 343-2000
Get Directions

Roger Thomas Ivey, DDS. is a general practice dentist in Kissimmee, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Roger Thomas Ivey, DDS. NPI is 1073532727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1875 BOGGY CREEK RD
KISSIMMEE, FL
ZIP 34744-428
Phone: (407) 343-2000

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

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
1	1223G0001X	Dentist	General Practice	DN17404	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DN17404	OTHER	FLORIDA	FLORIDA STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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