Provider Demographics
NPI:1609161645
Name:UNRUH, ARTHUR BENNETT (DDS)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:BENNETT
Last Name:UNRUH
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 1:3455 W 13TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4598
Mailing Address - Country:US
Mailing Address - Phone:316-945-0543
Mailing Address - Fax:316-941-4194
Practice Address - Street 1:3455 W 13TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4598
Practice Address - Country:US
Practice Address - Phone:316-945-0543
Practice Address - Fax:316-941-4194
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS608161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice