| Dr Lewis W Irby Jr, DDS | |
|
929 S Main St, Blackstone, VA 23824-2610 | |
| (434) 292-3695 | |
| (434) 292-5669 |
| Full Name | Dr Lewis W Irby Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 929 S Main St, Blackstone, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356529556 | NPI | - | NPPES |
| 113167 | Other | UNITED CONCORDIA | |
| 007817746 | Medicaid | VA | |
| 13625 | Other | DORAL DENTAL | |
| 45334 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005837 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lewis W Irby Jr, DDS Po Box 458, Blackstone, VA 23824-0458 Ph: (434) 292-3695 | Dr Lewis W Irby Jr, DDS 929 S Main St, Blackstone, VA 23824-2610 Ph: (434) 292-3695 |
Kristina Diane Staples, DDS. Dentist Medicare: Medicare Enrolled Practice Location: 551 North Main St, Blackstone, VA 23824 Phone: 434-292-5318 Fax: 434-264-3121 | |
Dr. Mark George Reitz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 103 E Broad St, Blackstone, VA 23824 Phone: 434-292-5318 | |
Dr. James L. Bradshaw, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 N Main St, Blackstone, VA 23824 Phone: 434-292-4665 |