Provider Demographics
NPI:1619177755
Name:OLDHAM, ARLENE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:M
Last Name:OLDHAM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 LONG POINT RD UNIT F
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8286
Mailing Address - Country:US
Mailing Address - Phone:843-971-8668
Mailing Address - Fax:843-881-7499
Practice Address - Street 1:636 LONG POINT RD UNIT F
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8286
Practice Address - Country:US
Practice Address - Phone:843-971-8668
Practice Address - Fax:843-881-7499
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3501122300000X
SC1803122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist