Provider Demographics
NPI:1912005430
Name:DIMARCO, ARTHUR CROMER (DMD)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:CROMER
Last Name:DIMARCO
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 1:310 N RIVERPOINT BLVD
Mailing Address - Street 2:BOX E HEALTH SCIENCES BLDG #160
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202
Mailing Address - Country:US
Mailing Address - Phone:509-368-6550
Mailing Address - Fax:509-368-6514
Practice Address - Street 1:310 N RIVERPOINT BLVD
Practice Address - Street 2:BOX E HEALTH SCIENCES BLDG #160
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202
Practice Address - Country:US
Practice Address - Phone:509-368-6512
Practice Address - Fax:509-368-6514
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA48641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA508205Medicaid
WA7543OtherWDS