1598741134 NPI number — DR. WILLIAM TODD ARTHUR D.D.S.

Table of content: DR. WILLIAM TODD ARTHUR D.D.S. (NPI 1598741134)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598741134 NPI number — DR. WILLIAM TODD ARTHUR D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARTHUR
Provider First Name:
WILLIAM
Provider Middle Name:
TODD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARTHUR
Provider Other First Name:
TODD
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.D.S.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1598741134
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
551 BECKER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROANOKE RAPIDS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27870-3303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-537-1054
Provider Business Mailing Address Fax Number:
252-537-1211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
551 BECKER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROANOKE RAPIDS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27870-3303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-537-1054
Provider Business Practice Location Address Fax Number:
252-537-1211
Provider Enumeration Date:
12/15/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  6201 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 866218 . This is a "UNITED CONCORDIA PROV #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8993995 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 240109 . This is a "VABCBS PROVIDER #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 90283 . This is a "NCBCBS INDIV. PROV. #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".