Dr. Marty Ries Irby, DDS
Dentist, General Practice in Lexington, TN. Individual provider (NPI-1).
NPI number1821190885
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821190885
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marty Ries Irby
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS4051 | TN | Yes |
Practice location
115 S Broad StLexington, TN 38351-2043
Phone 731-968-6614 · Fax 731-968-6112
Mailing address
Po Box 527Lexington, TN 38351-0527
Phone 731-968-6614 · Fax 731-968-6112
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