Provider Demographics
NPI:1548383029
Name:KERLE, ARTHUR P (DDS)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:P
Last Name:KERLE
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 1:5653 WALKER DR
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-6724
Mailing Address - Country:US
Mailing Address - Phone:989-348-2626
Mailing Address - Fax:989-348-2996
Practice Address - Street 1:5653 WALKER DR
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-6724
Practice Address - Country:US
Practice Address - Phone:989-348-2626
Practice Address - Fax:989-348-2996
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI139201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice