Provider Demographics
NPI:1417238858
Name:ARCE, JOHN (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:ARCE
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 1:5133 MARGARET CURTIS LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-1586
Mailing Address - Country:US
Mailing Address - Phone:708-388-3384
Mailing Address - Fax:708-388-4339
Practice Address - Street 1:14154 CICERO AVE
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:IL
Practice Address - Zip Code:60445-2153
Practice Address - Country:US
Practice Address - Phone:708-388-3384
Practice Address - Fax:708-388-4339
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019019976122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist