Provider Demographics
NPI:1487644191
Name:ARBELO, ALEXANDER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:ARBELO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2405
Mailing Address - Country:US
Mailing Address - Phone:607-432-4621
Mailing Address - Fax:607-433-0335
Practice Address - Street 1:53 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2405
Practice Address - Country:US
Practice Address - Phone:607-432-4621
Practice Address - Fax:607-433-0335
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052407-1122300000X
NY052407122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist