Individual provider · Type 1 NPI
Greggory Bryan Irving, DDS
Oral and Maxillofacial Surgery (Dentist) · Berkeley, CA
NPI number
1376961334
Active
Practice location
2522 Dana St Ste 202
Berkeley, CA 94704-2803
Fax (510) 848-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 64091 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1376961334
Greggory Bryan Irving, DDS's National Provider Identifier is 1376961334, issued on Apr 6, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Berkeley, CA. The record was last updated on Jun 10, 2024.