MR. BRETT IRVIN DDS
NPI 1659417582
Dentist in St Louis, IL

Active since January 29, 2007
1511 EAST BROADWAY, ST LOUIS, IL 62201(618) 482-3844(618) 482-3843 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dentist

About BRETT IRVIN

This page provides the complete NPI Profile along with additional information for Brett Irvin, a provider established in St Louis, Illinois with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1659417582 assigned on January 2007. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1659417582 Verify this NPI
Provider Name
MR. BRETT IRVIN DDS
Gender
Male
Entity Type
Individual
Location Address
1511 EAST BROADWAY ST LOUIS, IL 62201
Location Phone
(618) 482-3844
Location Fax
(618) 482-3843
Mailing Address
865 N 76TH E ST LOUIS, IL 62203
Is Sole Proprietor?
No
Enumeration Date
01-29-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Brett Irvin is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License State
IL
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1002311MEDICAID (05)IL 
101449MEDICAID (05)IL 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659417582, enumerated as an "individual" on January 29, 2007.

The provider is located at 1511 EAST BROADWAY ST LOUIS, IL 62201 and the phone number is (618) 482-3844.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.