Provider Demographics
NPI:1841365459
Name:IRWIN B FINCH DDS PC
Entity type:Organization
Organization Name:IRWIN B FINCH DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRWIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-877-7010
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty