Provider Demographics
NPI:1205054194
Name:ARTHUR, DOUGLAS K (DDS)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:K
Last Name:ARTHUR
Suffix:
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 1:651 N BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-5431
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1344 S 800 E
Practice Address - Street 2:201
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7781
Practice Address - Country:US
Practice Address - Phone:801-224-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT138301-89031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice