Provider Demographics
NPI:1386750800
Name:DIAMOND, ARTHUR H (DMD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:H
Last Name:DIAMOND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 J CLYDE MORRIS BLVD
Mailing Address - Street 2:PENINSULA HEALTH DISTRICT
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1927
Mailing Address - Country:US
Mailing Address - Phone:757-594-7305
Mailing Address - Fax:757-594-7714
Practice Address - Street 1:416 J CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1927
Practice Address - Country:US
Practice Address - Phone:757-594-7305
Practice Address - Fax:757-594-7714
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010049761223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08659Medicare ID - Type Unspecified