Provider Demographics
NPI:1063603801
Name:BABAYAN, IRINA (DDS)
Entity type:Individual
Prefix:DR
First Name:IRINA
Middle Name:
Last Name:BABAYAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 US ROUTE 1
Mailing Address - Street 2:FALMOUTH SHOPPING CENTER
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1322
Mailing Address - Country:US
Mailing Address - Phone:207-781-4216
Mailing Address - Fax:
Practice Address - Street 1:251 US ROUTE 1
Practice Address - Street 2:FALMOUTH SHOPPING CENTER
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1322
Practice Address - Country:US
Practice Address - Phone:207-781-4216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist