Provider Demographics
NPI:1700885779
Name:DALTON, ARTHUR BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:BENJAMIN
Last Name:DALTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 ARCH ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1437
Mailing Address - Country:US
Mailing Address - Phone:330-564-2438
Mailing Address - Fax:330-564-2442
Practice Address - Street 1:95 ARCH ST
Practice Address - Street 2:SUITE 280
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1437
Practice Address - Country:US
Practice Address - Phone:330-564-2438
Practice Address - Fax:330-564-2442
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35062167D208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00179441OtherRAILROAD MEDICARE
OH000000334070OtherANTHEM BC/BS
OH0697932OtherMEDICARE ID
OH0697933OtherMEDICARE ID
OH0697934OtherMEDICARE ID
OH0860715Medicaid
OH000000334070OtherANTHEM BC/BS