Provider Demographics
NPI:1285856468
Name:MCARTHUR, ASHLEY VALENTINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:VALENTINE
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 DEWEY ST
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-6547
Mailing Address - Country:US
Mailing Address - Phone:601-947-2229
Mailing Address - Fax:601-947-2484
Practice Address - Street 1:284 DEWEY ST
Practice Address - Street 2:
Practice Address - City:LUCEDALE
Practice Address - State:MS
Practice Address - Zip Code:39452-6547
Practice Address - Country:US
Practice Address - Phone:601-947-2229
Practice Address - Fax:601-947-2484
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3236-021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06027729Medicaid