Provider Demographics
NPI:1821171265
Name:DENTON, ARTHUR T (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:T
Last Name:DENTON
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 1:106 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2546
Mailing Address - Country:US
Mailing Address - Phone:231-347-4702
Mailing Address - Fax:
Practice Address - Street 1:201 DIVISION ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2443
Practice Address - Country:US
Practice Address - Phone:231-347-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010099331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice