Provider Demographics
NPI:1841647682
Name:TORI IRVINE DDS, PC
Entity type:Organization
Organization Name:TORI IRVINE DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TORI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:IRVINE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-846-1401
Mailing Address - Street 1:9804 SANDY ROCK PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277
Mailing Address - Country:US
Mailing Address - Phone:704-846-1401
Mailing Address - Fax:704-846-1677
Practice Address - Street 1:9804 SANDY ROCK PL
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277
Practice Address - Country:US
Practice Address - Phone:704-846-1401
Practice Address - Fax:704-846-1677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9275122300000X
NC7073122300000X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty