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Contact Information

JEFFREY D IVES
222 E CHALAN SANTO PAPA
#304 REFLECTION CENTER
HAGATNA, GU96910-5161
 Phone: 671-472-6824
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEFFREY D IVES · (Male)

NPI Number 1588938229
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2012
Last updated 02/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GU License # D728
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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