Individual
DR. IRA DAVID ATCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
255 3RD ST, BEAVER, PA 15009-2350
(724) 728-1700
(724) 728-1413
Mailing address
255 3RD ST, BEAVER, PA 15009-2350
(724) 728-1700
(724) 728-1413
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
30-019224
OH
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS-017928-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804268
—
OH
05
—
0882242
—
PA
Enumeration date
03/14/2006
Last updated
11/29/2007
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