Provider Demographics
NPI:1083347900
Name:ARNETT DENTAL CARE PLLC
Entity Type:Organization
Organization Name:ARNETT DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:270-753-6327
Mailing Address - Street 1:1405 DUDLEY DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2919
Mailing Address - Country:US
Mailing Address - Phone:270-753-6327
Mailing Address - Fax:
Practice Address - Street 1:1405 DUDLEY DR
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2919
Practice Address - Country:US
Practice Address - Phone:270-753-6327
Practice Address - Fax:270-753-6386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty