| Philip C. Irving,dds,pc | |
|
1383 Main St Suite 301 Springfield MA 01103-1653 | |
| (413) 737-3700 | |
| (413) 736-6515 |
| Full Name | Philip C. Irving,dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1383 Main St, Springfield, Massachusetts |
| Authorized Official Name and Position | Philip Craig Irving (OWNER) |
| Authorized Official Contact | 4137373700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip C. Irving,dds,pc 1383 Main St Suite 301 Springfield MA 01103-1653 Ph: (413) 737-3700 | Philip C. Irving,dds,pc 1383 Main St Suite 301 Springfield MA 01103-1653 Ph: (413) 737-3700 |
| NPI Number | 1356461891 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356461891 | NPI | - | NPPES |
| 9713841 | Medicaid | MA | |
| 0248509 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12970 (Massachusetts) | Primary |
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