Provider Demographics
NPI:1508191883
Name:ARTHUR, DAVID KEITH (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KEITH
Last Name:ARTHUR
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 1:48 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HELPER
Mailing Address - State:UT
Mailing Address - Zip Code:84526-1560
Mailing Address - Country:US
Mailing Address - Phone:435-201-6940
Mailing Address - Fax:435-249-7144
Practice Address - Street 1:48 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HELPER
Practice Address - State:UT
Practice Address - Zip Code:84526-1560
Practice Address - Country:US
Practice Address - Phone:435-201-6940
Practice Address - Fax:435-249-7144
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT55007861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice