Individual
DR. LARRY GENE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11161 KINGSTON PIKE, SUITE #1, KNOXVILLE, TN 37934-2850
(865) 966-8716
(865) 966-1209
Mailing address
316 SAINT ANDREWS DR, KNOXVILLE, TN 37934-2413
(865) 966-3440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS1669
TN
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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