Irvin Matthew Deatley D.D.S.

NPI 1164541348 - Dentist - 122300000X

NPI Details
NPI 1164541348
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
320 E 7TH ST
MOUNTAIN HOME AR, 72653-4416, US
Phone (870) 425-1441
Fax (870) 425-1445
Business Location
324 DYER ST
MOUNTAIN HOME AR, 72653-3524, US
Phone (870) 425-9893
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 3573
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According to our database, Dr. Irvin Matthew Deatley D.D.S. NPI is 1164541348, taxonomy code is 122300000X and license number is 3573, license state is located at Arkansas. Irvin Matthew Deatley D.D.S. physically located at 320 E 7th St, Mountain Home AR, 72653-4416. NPI Number Irvin Matthew Deatley D.D.S. has the Individual type.

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1164541348 NPI number is provided on an as is basis without warranty of any kind. 1164541348 is maintained by the National Plan & Provider Enumeration System. The contents of Irvin Matthew Deatley D.D.S. are for informational purposes only.