Dr. Ira David Atcheson
Oral and Maxillofacial Pathology
255 3rd St
Beaver
, Pennsylvania 15009-2350
Dr. Ira David Atcheson
Oral and Maxillofacial Pathology
255 3rd St
Beaver
, Pennsylvania 15009-2350
(724) 728-1413
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Ira David Atcheson
- 255 3rd St
- Beaver, PA
- Zip : 15009-2350
- Fax : (724) 728-1413
- Phone : (724) 728-1700
Second Address
- Dr. Ira David Atcheson
- 255 3rd St
- Beaver, PA
- Zip : 15009-2350
- Fax : (724) 728-1413
- Phone : (724) 728-1700
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0106X | Oral and Maxillofacial Pathology | 30-019224 | OH |
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DS-017928-L | PA |
National Provider Identifier
| NPI | 1215906268 |
|---|---|
| Provider Name | Dr. Ira David Atcheson |
| First Address | Beaver, PA 15009-2350 |
| Second Address | Beaver, PA 15009-2350 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 29/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0804268 | (05) | OH |
| 0882242 | (05) | PA |
| T29802 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.