Provider Demographics
NPI:1508052580
Name:DR. WARREN W. ARRASMITH, DMD PC
Entity Type:Organization
Organization Name:DR. WARREN W. ARRASMITH, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ARRASMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-424-8214
Mailing Address - Street 1:429 17TH ST N
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-8900
Mailing Address - Country:US
Mailing Address - Phone:205-424-8214
Mailing Address - Fax:
Practice Address - Street 1:429 17TH ST N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-8900
Practice Address - Country:US
Practice Address - Phone:205-424-8214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28351223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68637Medicare UPIN