Provider Demographics
NPI:1003997602
Name:ARTHUR, CHAD (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9360 E. RAINTREE DR.
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-505-3097
Mailing Address - Fax:480-515-9799
Practice Address - Street 1:9360 E. RAINTREE DR.
Practice Address - Street 2:SUITE 107
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-505-3097
Practice Address - Fax:480-515-9799
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ48391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics