Individual
DR. JOHN PHILLIP IREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4010 S CHURCH DR, NEW BERLIN, WI 53151-5608
(262) 784-2449
(262) 784-7873
Mailing address
PO BOX 158, CHESAPEAKE BEACH, MD 20732-0158
(301) 481-6664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001038-15
WI
122300000X
Dentist
8088
MD
1223G0001X
General Practice Dentistry
Primary
1001038-15
WI
1223G0001X
General Practice Dentistry
DD5248
NM
Other
Enumeration date
09/17/2006
Last updated
08/23/2022
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