Provider Demographics
NPI:1851562466
Name:DEAN, ARTHUR FRED (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:FRED
Last Name:DEAN
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 1:489 ROUTE 184
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-6227
Mailing Address - Country:US
Mailing Address - Phone:860-449-1643
Mailing Address - Fax:860-449-0198
Practice Address - Street 1:489 ROUTE 184
Practice Address - Street 2:SUITE 201
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-6227
Practice Address - Country:US
Practice Address - Phone:860-449-1643
Practice Address - Fax:860-449-0198
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-23
Last Update Date:2008-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT59161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics