Organization Name: | ROBERT L ARNOLD DDS INC |
NPI Number: | 1619044047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L ARNOLD (GENERAL PRACTITIONER) |
Mailing Address: | 5800 Fairfield Ave Suite 220 Fort Wayne |
State: | IN US |
Postal Code: | 468073437 |
Phone Number: | 2604566073 |
Fax Number: | 2607449251 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12007213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |