Provider Demographics
NPI:1104864180
Name:ROBERT E. MCARTHUR DDS, PA
Entity Type:Organization
Organization Name:ROBERT E. MCARTHUR DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-747-8106
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:105 PARKWOOD DRIVE
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-0125
Mailing Address - Country:US
Mailing Address - Phone:252-747-8106
Mailing Address - Fax:252-747-8680
Practice Address - Street 1:105 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1337
Practice Address - Country:US
Practice Address - Phone:252-747-8106
Practice Address - Fax:252-747-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC43721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT63932Medicare UPIN