Provider Demographics
NPI:1942398300
Name:FINCH, IRWIN BRUCE (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:IRWIN
Middle Name:BRUCE
Last Name:FINCH
Suffix:
Gender:M
Credentials:DDS PC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:134 WOOD DALE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019
Mailing Address - Country:US
Mailing Address - Phone:518-877-7010
Mailing Address - Fax:518-877-7311
Practice Address - Street 1:134 WOOD DALE DRIVE
Practice Address - Street 2:
Practice Address - City:BALLSTON LAKE
Practice Address - State:NY
Practice Address - Zip Code:12019
Practice Address - Country:US
Practice Address - Phone:518-877-7010
Practice Address - Fax:518-877-7311
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0269241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics