Mr Brett Irvin, DDS is a
Dentist based in St Louis, Illinois. Mr Brett Irvin is licensed to practice in Illinois (license number ) and his current practice location is
1511 East Broadway, St Louis, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 482-3844.
NPI number for Mr Brett Irvin is 1659417582 and his current mailing address is 865 N 76th E, St Louis, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659417582.
Healthcare Provider's Profile
| Full Name | Mr Brett Irvin |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 1511 East Broadway, St Louis, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659417582
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Brett Irvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659417582 | NPI | - | NPPES |
| 1002311 | Medicaid | IL | |
| 101449 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brett Irvin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Brett Irvin, DDS 865 N 76th E, St Louis, IL 62203 Ph: () - | Mr Brett Irvin, DDS 1511 East Broadway, St Louis, IL 62201 Ph: (618) 482-3844 |
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