Provider Demographics
NPI:1003875667
Name:ARNOLD, NANCY S (DMD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:S
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8780 REDWING DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1733
Mailing Address - Country:US
Mailing Address - Phone:407-864-1953
Mailing Address - Fax:850-497-6980
Practice Address - Street 1:8780 REDWING DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1733
Practice Address - Country:US
Practice Address - Phone:407-864-1953
Practice Address - Fax:850-497-6980
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN78851223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics