Jetoria Irving, in Kennesaw, GA - Medicare Dentist Provider

Jetoria Irving, is a medicare enrolled "Dentist - General Practice" provider in Kennesaw, Georgia. Her current practice location is 1200 Ernest W Barrett Pkwy Nw Ste 200, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 805-8057.

Jetoria Irving is licensed to practice in Georgia (license number DN015711) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437636321.

Contact Information

	Jetoria Irving,
	1200 Ernest W Barrett Pkwy Nw Ste 200, Kennesaw, GA 30144-4513
	(678) 805-8057
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jetoria Irving
Gender	Female
Speciality	Dentist - General Practice
Location	1200 Ernest W Barrett Pkwy Nw Ste 200, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437636321
Provider Enumeration Date: 07/24/2018
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 2163766361
Enrollment ID: I20181128002822

Medical Identifiers

Medical identifiers for Jetoria Irving such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437636321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN015711 (Georgia)	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. Jetoria Irving is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jetoria Irving, 1316 Highway 314, Fayetteville, GA 30214 Ph: () -	Jetoria Irving, 1200 Ernest W Barrett Pkwy Nw Ste 200, Kennesaw, GA 30144-4513 Ph: (678) 805-8057

Reviews and Comments

Dentist in Kennesaw, GA

Daniel Whitner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2105 Barrett Park Dr Nw, Kennesaw, GA 30144 Phone: 770-421-8653
Dr. Bruce Alan Hester, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2980 Lewis St Nw, Kennesaw, GA 30144 Phone: 770-422-1554 Fax: 770-422-2893
Dr. Linda Wolf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 Hawkins Store Rd Nw, Suite A-1, Kennesaw, GA 30144 Phone: 770-926-3400 Fax: 770-926-6317
Dr. Eddie Woods, DDS Dentist Medicare: Medicare Enrolled Practice Location: 100 Chastain Center Blvd Nw, Suite 135, Kennesaw, GA 30144 Phone: 678-836-2115 Fax: 770-441-0299
Dr. Kimberly M Lim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3104 Creekside Village Dr Nw, Suite 301, Kennesaw, GA 30144 Phone: 770-974-8211
Dr. David Michael Hildreth, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2430 Powell Pl Nw, Kennesaw, GA 30144 Phone: 770-424-1705
Dr. Lechandre Bonner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 Barrett Pkwy Ste 4060, Kennesaw, GA 30144 Phone: 678-905-6300 Fax: 678-905-6301

Jetoria Irving, - Medicare Dentist in Kennesaw, GA