Dr Ac Ivery, DDS - Dentist in San Jose, CA

Dr Ac Ivery, DDS is a Dentist based in San Jose, California. Dr Ac Ivery is licensed to practice in California (license number CALIF28457) and his current practice location is 420 Blossom Hill, San Jose, California. He can be reached at his office (for appointments etc.) via phone at (408) 281-8033.

NPI number for Dr Ac Ivery is 1174662456 and his current mailing address is 420 Blossom Hill, San Jose, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174662456.

Contact Information

Dr Ac Ivery, DDS
420 Blossom Hill,
San Jose, CA 95123
(408) 281-8033
Not Available



Healthcare Provider's Profile

Full NameDr Ac Ivery
GenderMale
SpecialityDentist
Location420 Blossom Hill, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174662456
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Ac Ivery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174662456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist CALIF28457 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ac Ivery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ac Ivery, DDS
420 Blossom Hill,
San Jose, CA 95123

Ph: (408) 281-8033
Dr Ac Ivery, DDS
420 Blossom Hill,
San Jose, CA 95123

Ph: (408) 281-8033

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