Provider Demographics
NPI:1598918203
Name:BALDWIN, ARTHUR WOOTEN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:WOOTEN
Last Name:BALDWIN
Suffix:JR
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 1:7300 CREEK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:TN
Mailing Address - Zip Code:37341-9453
Mailing Address - Country:US
Mailing Address - Phone:423-326-2852
Mailing Address - Fax:
Practice Address - Street 1:7300 CREEK RIDGE DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:TN
Practice Address - Zip Code:37341-9453
Practice Address - Country:US
Practice Address - Phone:423-326-2852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7398122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist