Basic Information
Provider Information
NPI: 1972784007
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAJOR
FirstName: ARTHUR
MiddleName: FREDERICK
NamePrefix: DR.
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 861 VIA CONCHA WAY
Address2:  
City: NIPOMO
State: CA
PostalCode: 934448865
CountryCode: US
TelephoneNumber: 8053436062
FaxNumber: 8053430933
Practice Location
Address1: 31625 HIGHWAY 101 S
Address2:  
City: SOLEDAD
State: CA
PostalCode: 939609529
CountryCode: US
TelephoneNumber: 8316785500
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/16/2007
LastUpdateDate: 11/16/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X22380CAY Dental ProvidersDentist 

No ID Information.


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