Provider Demographics
NPI:1386392520
Name:JOSEPH M. IRMEN D.D.S.
Entity type:Organization
Organization Name:JOSEPH M. IRMEN D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-631-0840
Mailing Address - Street 1:4710 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2300
Mailing Address - Country:US
Mailing Address - Phone:989-631-0840
Mailing Address - Fax:989-631-5350
Practice Address - Street 1:4710 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2300
Practice Address - Country:US
Practice Address - Phone:989-631-0840
Practice Address - Fax:989-631-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental