MEDICARE: DR. ARTHUR WILLIAM FIELDS D.D.S., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	14628	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14628	OTHER	TX	LICENSE #

General Provider Information

NPI Number	:	1679613491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR WILLIAM FIELDS D.D.S., M.S.

Provider Business Mailing Address
First Line	:	5800 COIT RD
Second Line	:	SUITE 400
City	:	PLANO
State	:	TX
Zip	:	75023-5942
Country	:	US
Telephone Number	:	972-985-1300
Fax Number	:	972-964-7955

Provider Business Practice Location Address
First Line	:	5800 COIT RD
Second Line	:	SUITE 400
City	:	PLANO
State	:	TX
Zip	:	75023-5942
Country	:	US
Telephone Number	:	972-985-1300
Fax Number	:	972-964-7955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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