Provider Demographics
NPI:1447235718
Name:WALLINS, ARNOLD RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:RICHARD
Last Name:WALLINS
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 1:50 SALEM ST A
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2600
Mailing Address - Country:US
Mailing Address - Phone:781-246-2211
Mailing Address - Fax:781-246-5566
Practice Address - Street 1:765 LOWELL ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-3352
Practice Address - Country:US
Practice Address - Phone:978-535-5090
Practice Address - Fax:978-535-5222
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAM11128122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist