Provider Demographics
NPI:1376521344
Name:EIS, ARTHUR A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:A
Last Name:EIS
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 1:1033 RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3119
Mailing Address - Country:US
Mailing Address - Phone:201-836-7166
Mailing Address - Fax:
Practice Address - Street 1:1033 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07666-3119
Practice Address - Country:US
Practice Address - Phone:201-836-7166
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI17042122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist