Individual
DR. GEORGE E ARQUITT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1103 E MONTCLAIR ST, SUITE 100, SPRINGFIELD, MO 65807-5076
(417) 887-8800
(417) 887-6265
Mailing address
1103 E MONTCLAIR ST, SUITE 100, SPRINGFIELD, MO 65807-5076
(417) 887-8800
(417) 887-6265
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2002001969M
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2002002703D
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12278
BC/S DENTAL
MO
01
—
157751
BC/S MEDICAL
MO
01
—
190010364
RR MEDICARE
MO
01
—
2703
DELTA DENTAL
MO
05
—
405747700
—
MO
Enumeration date
09/15/2005
Last updated
03/31/2017
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