Provider Demographics
NPI:1124335633
Name:JOSEPH M. ARCIDI DDS INC
Entity type:Organization
Organization Name:JOSEPH M. ARCIDI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDIVIDUAL PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ARCIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-369-5911
Mailing Address - Street 1:747 MAIN ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-369-5911
Mailing Address - Fax:978-369-5095
Practice Address - Street 1:747 MAIN ST
Practice Address - Street 2:SUITE 221
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-369-5911
Practice Address - Fax:978-369-5095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA91831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty