Provider Demographics
NPI:1831273408
Name:ARJES, DOUGLAS WAYNE (DDS)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:WAYNE
Last Name:ARJES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 N FLORA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-3028
Mailing Address - Country:US
Mailing Address - Phone:816-436-7860
Mailing Address - Fax:
Practice Address - Street 1:5708 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-3962
Practice Address - Country:US
Practice Address - Phone:816-452-2000
Practice Address - Fax:816-452-4069
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0155341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice