Provider Demographics
NPI:1972833598
Name:DR. ARREOLA & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DR. ARREOLA & ASSOCIATES, LLC
Other - Org Name:ARREOLA-BAUS & ASSOCIATES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARREOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-691-6900
Mailing Address - Street 1:1020 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5024
Mailing Address - Country:US
Mailing Address - Phone:610-691-6900
Mailing Address - Fax:
Practice Address - Street 1:1020 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5024
Practice Address - Country:US
Practice Address - Phone:610-691-6900
Practice Address - Fax:610-691-8278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022129-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000043682Medicare UPIN