Organization
PHILIP C. IRVING,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP CRAIG IRVING DDS (OWNER)
(413) 737-3700
Entity
Organization
Contact information
Practice address
1383 MAIN ST, SUITE 301, SPRINGFIELD, MA 01103-1653
(413) 737-3700
(413) 736-6515
Mailing address
1383 MAIN ST, SUITE 301, SPRINGFIELD, MA 01103-1653
(413) 737-3700
(413) 736-6515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248509
—
MA
05
—
9713841
—
MA
Enumeration date
03/29/2007
Last updated
08/22/2020
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