Healthcare Provider Details

I. General information

NPI: 1235294117
Provider Name (Legal Business Name): ARTHUR H. HESS D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 PINE AVE
RANTOUL IL
61866-2019
US

IV. Provider business mailing address

1419 PINE AVE
RANTOUL IL
61866-2019
US

V. Phone/Fax

Practice location:
  • Phone: 217-893-4377
  • Fax: 217-892-4142
Mailing address:
  • Phone: 217-893-4377
  • Fax: 217-892-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: