Provider Demographics
NPI:1598741134
Name:ARTHUR, WILLIAM TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TODD
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:TODD
Other - Middle Name:
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:551 BECKER DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-3303
Mailing Address - Country:US
Mailing Address - Phone:252-537-1054
Mailing Address - Fax:252-537-1211
Practice Address - Street 1:551 BECKER DR
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-3303
Practice Address - Country:US
Practice Address - Phone:252-537-1054
Practice Address - Fax:252-537-1211
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
866218OtherUNITED CONCORDIA PROV #
NC8993995Medicaid
240109OtherVABCBS PROVIDER #
NC90283OtherNCBCBS INDIV. PROV. #