Healthcare Provider Details

I. General information

NPI: 1285912154
Provider Name (Legal Business Name): WILLIAM BRENNAN ARDEN DDS, PHD, DMSC, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 WOOD RD
BETHESDA MD
20889-5628
US

IV. Provider business mailing address

1960 MENDON RD
CUMBERLAND RI
02864-4318
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-8051
  • Fax:
Mailing address:
  • Phone: 401-333-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1857462
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDEN03439
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN1857462
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberVA-0013
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number27167
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number27167
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: