Provider Demographics
NPI:1063535938
Name:VAIL, ARTHUR E JR (DDS)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:E
Last Name:VAIL
Suffix:JR
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 1:1327 SULPHUR SPRING RD
Mailing Address - Street 2:
Mailing Address - City:ARBUTUS
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2713
Mailing Address - Country:US
Mailing Address - Phone:410-242-5111
Mailing Address - Fax:410-737-0812
Practice Address - Street 1:1327 SULPHUR SPRING RD
Practice Address - Street 2:
Practice Address - City:ARBUTUS
Practice Address - State:MD
Practice Address - Zip Code:21227-2713
Practice Address - Country:US
Practice Address - Phone:410-242-5111
Practice Address - Fax:410-737-0812
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD83371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice