Provider Demographics
NPI:1356313134
Name:DELFINER, ARNOLD GARY (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:GARY
Last Name:DELFINER
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:PO BOX 4242
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002-4242
Mailing Address - Country:US
Mailing Address - Phone:847-838-4804
Mailing Address - Fax:
Practice Address - Street 1:3001 6TH ST
Practice Address - Street 2:NAVAL HOSPITAL, DENTAL DIRECTORATE
Practice Address - City:GREAT LAKES
Practice Address - State:IL
Practice Address - Zip Code:60088-2833
Practice Address - Country:US
Practice Address - Phone:847-688-4560
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0389051223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery