Provider Demographics
NPI:1417219403
Name:ARIVE, CRAIG ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ANTHONY
Last Name:ARIVE
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 1:5436 STEINMEIER CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2561
Mailing Address - Country:US
Mailing Address - Phone:317-849-1943
Mailing Address - Fax:
Practice Address - Street 1:6284 RUCKER RD STE G
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4851
Practice Address - Country:US
Practice Address - Phone:317-255-5285
Practice Address - Fax:317-255-0548
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011834A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist