MEDICARE: ARTHUR THOMAS LLOYD DMD

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	122300000X	Dentist	13261	MO

General Provider Information

NPI Number	:	1730177254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR THOMAS LLOYD DMD

Provider Business Mailing Address
First Line	:	2 AMES PLACE DR
Second Line	:
City	:	LADUE
State	:	MO
Zip	:	63124-1736
Country	:	US
Telephone Number	:	314-993-3553
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 S HANLEY RD
Second Line	:
City	:	CLAYTON
State	:	MO
Zip	:	63105-2038
Country	:	US
Telephone Number	:	314-721-2346
Fax Number	:

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	07/08/2007

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