Irvin, Debra Vivian

Irvin, Debra Vivian is an sole proprietor health care provider with primary practice located at 5201 N Broad St , Phila PA 19141-1627. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Irvin, Debra Vivian can be contacted via phone (215) 329-5512.

Contact Information

Primary practice address
5201 N Broad St Phila PA 19141-1627
Phone: (215) 329-5512
Fax: (215) 329-0401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS023289L Pennsylvania

Profile Details

NPI number 1497735666
LBN Legal business name Irvin, Debra Vivian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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