Provider Demographics
NPI:1669557732
Name:ARTHUR W HENRY DDS PA
Entity type:Organization
Organization Name:ARTHUR W HENRY DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTITIONER CORP PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-734-8101
Mailing Address - Street 1:748 S NEW STREET
Mailing Address - Street 2:NEW MEDICAL CENTER SUITE A
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904
Mailing Address - Country:US
Mailing Address - Phone:302-734-8101
Mailing Address - Fax:302-734-1857
Practice Address - Street 1:748 S NEW STREET
Practice Address - Street 2:NEW MEDICAL CENTER SUITE A
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904
Practice Address - Country:US
Practice Address - Phone:302-734-8101
Practice Address - Fax:302-734-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10000681122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty