Individual
MR. THOMAS M IRWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
428 N SECOND STREET, PHILIPSBURG, PA 16866
(814) 342-5367
(814) 342-8044
Mailing address
428 N SECOND STREET, PHILIPSBURG, PA 16866
(814) 342-5367
(814) 342-8044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 023667L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009178490002
—
PA
01
—
167037
UNITED CONCORDIA
PA
Enumeration date
08/22/2006
Last updated
07/08/2007
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