Individual
DR. JEREMY MACEO IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18947 JOHN J WILLIAMS HWY UNIT 309, REHOBOTH BEACH, DE 19971-4477
(302) 644-4460
Mailing address
18947 JOHN J WILLIAMS HWY UNIT 309, REHOBOTH BEACH, DE 19971-4477
(302) 644-4460
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
G1-0011534
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
08/09/2022
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