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Organization

IRWIN FAMILY DENTAL, LLC

Active
Other names
Northern Sky Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS RYAN LIPPERT DMD, FAGD, D.ABDSM (OWNER/MANAGER)
(724) 863-5700
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO35701
PA

Other

Enumeration date
02/01/2011
Last updated
04/07/2023
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