Provider Demographics
NPI:1720373897
Name:ARCENEAUX, SCOTT MARC (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MARC
Last Name:ARCENEAUX
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 1:11293 E BERRY DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3908
Mailing Address - Country:US
Mailing Address - Phone:951-850-5980
Mailing Address - Fax:
Practice Address - Street 1:6951 E BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3295
Practice Address - Country:US
Practice Address - Phone:951-850-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002030151223S0112X
CA60429122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist