Provider Demographics
NPI:1699912915
Name:FERTMAN, ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:FERTMAN
Suffix:
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 1:173 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2902
Mailing Address - Country:US
Mailing Address - Phone:781-272-3050
Mailing Address - Fax:781-272-8261
Practice Address - Street 1:173 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2902
Practice Address - Country:US
Practice Address - Phone:781-272-3050
Practice Address - Fax:781-272-8261
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA97811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics