Provider Demographics
NPI:1497774624
Name:ARTHUR, HAROLD RAMSEY JR (DMD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:RAMSEY
Last Name:ARTHUR
Suffix:JR
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 1:1009 11TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-3605
Mailing Address - Country:US
Mailing Address - Phone:386-330-5181
Mailing Address - Fax:386-330-2320
Practice Address - Street 1:1009 11TH ST SW
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-3605
Practice Address - Country:US
Practice Address - Phone:386-330-5181
Practice Address - Fax:386-330-2320
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-05-20
Deactivation Date:2024-03-05
Deactivation Code:
Reactivation Date:2024-05-20
Provider Licenses
StateLicense IDTaxonomies
FLDH16330124Q00000X
FLDH11475124Q00000X
FLDN159221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No124Q00000XDental ProvidersDental Hygienist