Provider Demographics
NPI:1467869032
Name:ARTHUR DEAN SPEROW, D.M.D., PLLC
Entity Type:Organization
Organization Name:ARTHUR DEAN SPEROW, D.M.D., PLLC
Other - Org Name:ONHEALTHCARE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SPEROW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:248-528-1981
Mailing Address - Street 1:1200 KIRTS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4838
Mailing Address - Country:US
Mailing Address - Phone:248-528-1981
Mailing Address - Fax:248-528-2963
Practice Address - Street 1:1150 1ST AVE
Practice Address - Street 2:SUITE 805
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1334
Practice Address - Country:US
Practice Address - Phone:484-681-2249
Practice Address - Fax:484-681-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0395461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty