Atcheson, Ira David

Atcheson, Ira David is an individual health care provider with primary practice located at 255 3Rd St , Beaver PA 15009-2350. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Atcheson, Ira David can be contacted via phone (724) 728-1700.

Contact Information

Primary practice address
255 3Rd St Beaver PA 15009-2350
Phone: (724) 728-1700
Fax: (724) 728-1413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DS-017928-L Pennsylvania
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 30-019224 Ohio

Profile Details

NPI number 1215906268
LBN Legal business name Atcheson, Ira David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215906268 NPPES
Pennsylvania MEDICAID 0882242
Pennsylvania MEDICAID 0804268

Popular Providers