Provider Demographics
NPI:1528265303
Name:ARRINGTON, STEVEN ALAN (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALAN
Last Name:ARRINGTON
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 1:222 CHAMBLESS LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:GA
Mailing Address - Zip Code:31811-6144
Mailing Address - Country:US
Mailing Address - Phone:706-628-0011
Mailing Address - Fax:706-628-0077
Practice Address - Street 1:222 CHAMBLESS LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:GA
Practice Address - Zip Code:31811-6144
Practice Address - Country:US
Practice Address - Phone:706-628-0011
Practice Address - Fax:706-628-0077
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013511122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA600168797BMedicaid