Provider Demographics
NPI:1851547806
Name:MCARTHUR, NATHAN J (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:J
Last Name:MCARTHUR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 MEDICAL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-3094
Mailing Address - Country:US
Mailing Address - Phone:435-734-2364
Mailing Address - Fax:435-723-0299
Practice Address - Street 1:980 MEDICAL DR STE 3
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-3094
Practice Address - Country:US
Practice Address - Phone:435-734-2364
Practice Address - Fax:435-723-0299
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6969096-99211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice