Healthcare Provider Details

I. General information

NPI: 1033351242
Provider Name (Legal Business Name): DR. ARTHUR WILLIAM FIELDS, D.D.S.,M.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 COIT RD STE 400
PLANO TX
75023-5946
US

IV. Provider business mailing address

5800 COIT RD STE 400
PLANO TX
75023-5946
US

V. Phone/Fax

Practice location:
  • Phone: 972-985-1300
  • Fax: 972-964-7955
Mailing address:
  • Phone: 972-985-1300
  • Fax: 972-964-7955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number14628
License Number StateTX

VIII. Authorized Official

Name: DENISE WINSTON
Title or Position: OFFICE MANAGER
Credential:
Phone: 972-985-1300