Healthcare Provider Details

I. General information

NPI: 1043250897
Provider Name (Legal Business Name): DOUGLAS RAY MCARTHUR DDS,MS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 FULTON ST
DURHAM NC
27705-3875
US

IV. Provider business mailing address

320 N CAMERON ST
HILLSBOROUGH NC
27278-2121
US

V. Phone/Fax

Practice location:
  • Phone: 919-286-0411
  • Fax: 919-416-5965
Mailing address:
  • Phone: 919-286-0411
  • Fax: 919-416-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number3376
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: