Provider Demographics
NPI:1407070451
Name:ARTHURS, JASON
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:ARTHURS
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 1:8249 W THUNDERBIRD RD
Mailing Address - Street 2:#110
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4601
Mailing Address - Country:US
Mailing Address - Phone:623-979-8800
Mailing Address - Fax:
Practice Address - Street 1:8249 W THUNDERBIRD RD
Practice Address - Street 2:#110
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4601
Practice Address - Country:US
Practice Address - Phone:623-979-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ58181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice