Dr. Scott Irwin
Dental Public Health Dentist - General Practice
1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/sghc
Jbsa Lackland
, Texas 78236-9909
Dr. Scott Irwin
Dental Public Health Dentist - General Practice
1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/sghc
Jbsa Lackland
, Texas 78236-9909
(210) 292-6225
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Scott Irwin
- 1100 Wilford Hall Loop Bldg 4554
- Jbsa Lackland, TX
- Zip : 78236-5638
- Phone : (210) 292-6225
Second Address
- Dr. Scott Irwin
- 1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/sghc
- Jbsa Lackland, TX
- Zip : 78236-9909
- Phone : (210) 292-6225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DE60034739 | WA |
| N | 1223G0001X | General Practice | 5507 | AZ |
| N | 213EG0000X | General Practice | 5507 | AZ |
National Provider Identifier
| NPI | 1669460119 |
|---|---|
| Provider Name | Dr. Scott Irwin |
| First Address | Jbsa Lackland, TX 78236-5638 |
| Second Address | Jbsa Lackland, TX 78236-9909 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 09/01/2020 |
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.