Provider Demographics
NPI:1801999073
Name:NIDO, ARTHUR ANTHONY (DMD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ANTHONY
Last Name:NIDO
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 1:13805 SPIRIT TRAIL PL. NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6642
Mailing Address - Country:US
Mailing Address - Phone:757-450-8921
Mailing Address - Fax:505-291-0653
Practice Address - Street 1:2116 HINKLE ST SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-4930
Practice Address - Country:US
Practice Address - Phone:505-843-7493
Practice Address - Fax:505-214-5029
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4276122300000X
NM3484122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist