Provider Demographics
NPI:1659409530
Name:ARCURI, MICHAEL ROSS (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROSS
Last Name:ARCURI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2114
Mailing Address - Country:US
Mailing Address - Phone:319-266-9791
Mailing Address - Fax:
Practice Address - Street 1:1304 W 1ST ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2114
Practice Address - Country:US
Practice Address - Phone:319-266-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIA72811223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics