Provider Demographics
NPI:1063441657
Name:LISA D. ARTHUR, D.M.D., P.A.
Entity type:Organization
Organization Name:LISA D. ARTHUR, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-586-6688
Mailing Address - Street 1:3705 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1288
Mailing Address - Country:US
Mailing Address - Phone:609-586-6688
Mailing Address - Fax:609-586-8744
Practice Address - Street 1:3705 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1288
Practice Address - Country:US
Practice Address - Phone:609-586-6688
Practice Address - Fax:609-586-8744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022027001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty