Provider Demographics
NPI:1548338890
Name:CASE, DAVID ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:CASE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6333 SW MACADAM AVE
Mailing Address - Street 2:STE 107
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3656
Mailing Address - Country:US
Mailing Address - Phone:503-977-3400
Mailing Address - Fax:503-977-3407
Practice Address - Street 1:6333 SW MACADAM AVE
Practice Address - Street 2:STE 107
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3656
Practice Address - Country:US
Practice Address - Phone:503-977-3400
Practice Address - Fax:503-977-3407
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD75771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice