Provider Demographics
NPI:1033245493
Name:ARNETT, LARRY NEIL (DMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:NEIL
Last Name:ARNETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MOREHEAD PLAZA
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351
Mailing Address - Country:US
Mailing Address - Phone:606-784-7033
Mailing Address - Fax:606-784-7033
Practice Address - Street 1:204 MOREHEAD PLAZA
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351
Practice Address - Country:US
Practice Address - Phone:606-784-7033
Practice Address - Fax:606-784-7033
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6363122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60063633Medicaid