NPI 1588938229

Jeffrey David Ives

Practitioner Dentist Hagatna, GU

Practice location

Address: 222 E Chalan Santo Papa #304 Reflection Center, Hagatna, GU 96910-5161
Phone: (671) 472-6824

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D728 (GU)

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Registry record

NPI: 1588938229
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2012
Record last updated: 27 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.