Provider Demographics
NPI:1972658284
Name:ARROYO, JOHN ANTHONY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTHONY
Last Name:ARROYO
Suffix:JR
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 1:1140 19TH ST NW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6601
Mailing Address - Country:US
Mailing Address - Phone:202-955-5787
Mailing Address - Fax:202-887-5517
Practice Address - Street 1:1140 19TH ST NW
Practice Address - Street 2:SUITE 220
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6601
Practice Address - Country:US
Practice Address - Phone:202-955-5787
Practice Address - Fax:202-887-5517
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC36711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice