Provider Demographics
NPI:1760703441
Name:JESSE D. ARBON, DDS, MS, P.A.
Entity type:Organization
Organization Name:JESSE D. ARBON, DDS, MS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:ARBON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:801-913-6208
Mailing Address - Street 1:3047 REMINGTON OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8747
Mailing Address - Country:US
Mailing Address - Phone:801-913-6208
Mailing Address - Fax:
Practice Address - Street 1:10120 GREEN LEVEL CHURCH RD
Practice Address - Street 2:SUITE 212
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8141
Practice Address - Country:US
Practice Address - Phone:801-913-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8431261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental