Provider Demographics
NPI:1073790077
Name:DOUGLAS W. ARNETT D.D.S. P.A.
Entity Type:Organization
Organization Name:DOUGLAS W. ARNETT D.D.S. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:850-476-3050
Mailing Address - Street 1:3201 E OLIVE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-7237
Mailing Address - Country:US
Mailing Address - Phone:850-476-3050
Mailing Address - Fax:850-484-7067
Practice Address - Street 1:3201 E OLIVE RD
Practice Address - Street 2:SUITE B
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-7237
Practice Address - Country:US
Practice Address - Phone:850-476-3050
Practice Address - Fax:850-484-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN99661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty