Provider Demographics
NPI:1831391861
Name:ARTHUR ORTHODONTICS, PLC
Entity type:Organization
Organization Name:ARTHUR ORTHODONTICS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:480-505-3097
Mailing Address - Street 1:9360 E RAINTREE DR STE 107
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2099
Mailing Address - Country:US
Mailing Address - Phone:480-505-3097
Mailing Address - Fax:480-515-9799
Practice Address - Street 1:6320A W UNION HILLS DR STE 280
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-2159
Practice Address - Country:US
Practice Address - Phone:623-362-1135
Practice Address - Fax:623-362-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ48391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty