| William Irby Jr Dds Pc | |
| 
					107 S. Broad St. Kenbridge VA 23944  | |
| (434) 676-8001 | |
| (434) 676-8002 | 
| Full Name | William Irby Jr Dds Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 107 S. Broad St., Kenbridge, Virginia | 
| Authorized Official Name and Position | William Irby (PRESIDENT) | 
| Authorized Official Contact | 4346768001 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| William Irby Jr Dds Pc Po Box 397 Kenbridge VA 23944-0397 Ph: (434) 676-8001  | William Irby Jr Dds Pc 107 S. Broad St. Kenbridge VA 23944 Ph: (434) 676-8001  | 
| NPI Number | 1487746822 | 
|---|---|
| Provider Enumeration Date | 09/29/2006 | 
| Last Update Date | 04/18/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487746822 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005837 (Virginia) | Primary | 
Riccobene & Associates Cc, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E 5th Ave, Kenbridge, VA 23944 Phone: 434-676-8023  |