Provider Demographics
NPI:1164534087
Name:DENSTEDT, ARTHUR GEORGE
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:GEORGE
Last Name:DENSTEDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5975 MARSHALL FOCH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3746
Mailing Address - Country:US
Mailing Address - Phone:504-831-8298
Mailing Address - Fax:504-831-8621
Practice Address - Street 1:211 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-831-8298
Practice Address - Fax:504-831-8621
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1233579Medicaid
LA1233579Medicaid