Lawrence Kevin Arthur, DDS.PA
Individual provider Active NPI General Practice Dentistry · Garner, NC
NPI 1417026543 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1417026543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- NC 5374 (NC)
- Practice address
- 2385 Timber Dr
Garner, NC 27529-2586 - Phone
- (919) 772-1434
- Fax
- (919) 772-0537
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160520002081 | NC | Order and Referring Only - Dentist |
6608165204 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC 5374 | NC | MD | General Practice Dentistry |
| 5374 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Arthur DDS PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NC 5374 | NC | Yes |
Addresses
Primary practice location
2385 Timber Dr
Garner, NC 27529-2586
Mailing address
1436 Enchanted Oaks Dr
Raleigh, NC 27606-9010
Phone (919) 832-8170
Other providers in Garner, NC
- Anna-Kate Miller LCSW PLLC
- Donald Anthony
- Angel Archer
- Elizabeth Armenteros
- Brittney Arrington
- Allison Beth Arvin
- Valerie Asadian
- Ascend Rehab Therapy PLLC
- Rosemary Rebecca Ashford
- Jadaya Asor-Sallaah
All providers in Garner, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.