Individual
DR. SCOTT IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MPH
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9909
(210) 292-6225
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DE60034739
WA
1223G0001X
General Practice Dentistry
5507
AZ
Other
Enumeration date
10/10/2005
Last updated
08/03/2023
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