NPI 1083031264 · live from the CMS NPI Registry
Durk Irwin, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Pendleton, OR. National Provider Identifier 1083031264, active.
NPI record
| NPI | 1083031264 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 610 Sw Dorion Ave, Pendleton, OR 97801 |
| Practice phone | 541-276-7819 |
| Enumerated | March 25, 2014 |
| Last updated | March 25, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D6991 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.