Provider Demographics
NPI:1457463838
Name:GEORGEU, ARTHUR GARY (DMD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:GARY
Last Name:GEORGEU
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 1:65 NEWPORT AVE
Mailing Address - Street 2:STE. 4
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-2037
Mailing Address - Country:US
Mailing Address - Phone:401-434-3220
Mailing Address - Fax:401-435-9350
Practice Address - Street 1:65 NEWPORT AVE
Practice Address - Street 2:STE. 4
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-2037
Practice Address - Country:US
Practice Address - Phone:401-434-3220
Practice Address - Fax:401-435-9350
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI23611223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics