Provider Demographics
NPI:1487824934
Name:IRVINE, NUNYA (DMD)
Entity type:Individual
Prefix:DR
First Name:NUNYA
Middle Name:
Last Name:IRVINE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 E 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5737
Mailing Address - Country:US
Mailing Address - Phone:219-769-8188
Mailing Address - Fax:219-769-8802
Practice Address - Street 1:1613 E 80TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5737
Practice Address - Country:US
Practice Address - Phone:219-769-8188
Practice Address - Fax:219-769-8802
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012094A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist