Provider Demographics
NPI:1285912154
Name:ARDEN, WILLIAM BRENNAN (DDS, PHD, DMSC, MPH)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRENNAN
Last Name:ARDEN
Suffix:
Gender:M
Credentials:DDS, PHD, DMSC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 MENDON RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-4318
Mailing Address - Country:US
Mailing Address - Phone:401-333-1516
Mailing Address - Fax:
Practice Address - Street 1:8955 WOOD RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5628
Practice Address - Country:US
Practice Address - Phone:301-295-8051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN034391223E0200X
MADN18574621223E0200X, 122300000X
MDVA-00131223E0200X
TX271671223G0001X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist