Provider Demographics
NPI:1447445465
Name:ARENA, JOSEPH L (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:ARENA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N MONROE ST
Mailing Address - Street 2:DRS ANDERSON & ARENA
Mailing Address - City:WATERLOO
Mailing Address - State:WI
Mailing Address - Zip Code:53594-1126
Mailing Address - Country:US
Mailing Address - Phone:920-478-2850
Mailing Address - Fax:920-478-3768
Practice Address - Street 1:245 N MONROE ST
Practice Address - Street 2:DRS ANDERSON & ARENA
Practice Address - City:WATERLOO
Practice Address - State:WI
Practice Address - Zip Code:53594-1126
Practice Address - Country:US
Practice Address - Phone:920-478-2850
Practice Address - Fax:920-478-3768
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5000996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist