Provider Demographics
NPI:1760779177
Name:DOERING, ARTHUR LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LOUIS
Last Name:DOERING
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:PO BOX 100436
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0436
Mailing Address - Country:US
Mailing Address - Phone:352-273-5440
Mailing Address - Fax:352-273-5446
Practice Address - Street 1:1600 SW ARCHER RD RM D10-37
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0436
Practice Address - Country:US
Practice Address - Phone:352-273-5440
Practice Address - Fax:352-273-5446
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist