| N. Tyrus Ivey, DDS, PC | |
|
1902 Forsyth St Suite C Macon GA 31201-8132 | |
| (478) 741-0044 | |
| (478) 745-5061 |
| Full Name | N. Tyrus Ivey, DDS, PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1902 Forsyth St, Macon, Georgia |
| Authorized Official Name and Position | Norman Tyrus Ivey (PRESIDENT) |
| Authorized Official Contact | 4787410044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N. Tyrus Ivey, DDS, PC 1902 Forsyth St Suite C Macon GA 31201-8132 Ph: (478) 741-0044 | N. Tyrus Ivey, DDS, PC 1902 Forsyth St Suite C Macon GA 31201-8132 Ph: (478) 741-0044 |
| NPI Number | 1467571125 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467571125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7326 (Georgia) | Primary |
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