Provider Demographics
NPI:1720206238
Name:GAGER, ARTHUR HOUGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:HOUGH
Last Name:GAGER
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 1:2 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9400
Mailing Address - Country:US
Mailing Address - Phone:207-283-4867
Mailing Address - Fax:207-283-4496
Practice Address - Street 1:2 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9400
Practice Address - Country:US
Practice Address - Phone:207-283-4867
Practice Address - Fax:207-283-4496
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME31331223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics