Provider Demographics
NPI:1871553958
Name:REMERSCHEID, JAMES ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:REMERSCHEID
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 S WALDRON RD
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3736
Mailing Address - Country:US
Mailing Address - Phone:479-484-1011
Mailing Address - Fax:479-484-1205
Practice Address - Street 1:2407 S WALDRON RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3736
Practice Address - Country:US
Practice Address - Phone:479-484-1011
Practice Address - Fax:479-484-1205
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR28301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548288244OtherGROUP NPI
OK100174630AMedicaid
000516007OtherUNITED CONCORDIA
000861460OtherUNITED CONCORDIA (GROUP)
AR127322679Medicaid
AR58111OtherBLUE CROSS BLUE SHIELD
000516007OtherUNITED CONCORDIA
1548288244OtherGROUP NPI