Provider Demographics
NPI:1841408143
Name:ARTHUR, JEAN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:L
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3907
Mailing Address - Country:US
Mailing Address - Phone:401-245-4101
Mailing Address - Fax:401-245-4101
Practice Address - Street 1:372 IVES ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3929
Practice Address - Country:US
Practice Address - Phone:401-862-6032
Practice Address - Fax:401-245-4101
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN019491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice