# IRWIN FAMILY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Sky Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073819520
- **Authorized official:** DR. DOUGLAS RYAN LIPPERT DMD, FAGD, D.ABDSM (OWNER/MANAGER)
- **Authorized official phone:** (724) 863-5700

## Contact information

- **Practice address:** 12814 STATE ROUTE 30, NORTH HUNTINGDON, PA 15642-1352
- **Practice address phone:** (724) 863-5700
- **Practice address fax:** (724) 863-5701
- **Mailing address:** 12814 STATE ROUTE 30, NORTH HUNTINGDON, PA 15642-1352
- **Mailing address phone:** (724) 863-5700
- **Mailing address fax:** (724) 863-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DSO35701 | PA | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 04/07/2023