Search › Illinois › 122300000X
Brett Irvin, DDS
NPI 1659417582 · on the registry since 2007
Practice
- Address
- 1511 East Broadway
St Louis, IL 62201 - Phone
- (618) 482-3844
- Fax
- (618) 482-3843
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois