Provider Demographics
NPI:1225254105
Name:SHETTER, NORTH ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORTH
Middle Name:ARTHUR
Last Name:SHETTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MENOMINEE
Mailing Address - State:MI
Mailing Address - Zip Code:49858-1309
Mailing Address - Country:US
Mailing Address - Phone:906-863-2206
Mailing Address - Fax:906-863-6389
Practice Address - Street 1:4103 10TH ST
Practice Address - Street 2:
Practice Address - City:MENOMINEE
Practice Address - State:MI
Practice Address - Zip Code:49858-1309
Practice Address - Country:US
Practice Address - Phone:906-863-2206
Practice Address - Fax:906-863-6389
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901010258122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist