Provider Demographics
NPI:1609587419
Name:ARCENEAUX, MAGGIE RENEE' (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:RENEE'
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 ROBINSON ST UNIT 302
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-8390
Mailing Address - Country:US
Mailing Address - Phone:337-501-0020
Mailing Address - Fax:
Practice Address - Street 1:227 MIDLAND AVE STE C3
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8119
Practice Address - Country:US
Practice Address - Phone:970-718-5522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00205373122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist