Provider Demographics
NPI:1316024060
Name:ARNOLD, PAUL EVAN JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EVAN
Last Name:ARNOLD
Suffix:JR
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 1:3161 OAKLAND AVE
Mailing Address - Street 2:PO BOX 356
Mailing Address - City:CATLETTSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41129-1155
Mailing Address - Country:US
Mailing Address - Phone:606-739-5151
Mailing Address - Fax:
Practice Address - Street 1:3161 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:CATLETTSBURG
Practice Address - State:KY
Practice Address - Zip Code:41129-1155
Practice Address - Country:US
Practice Address - Phone:606-739-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6791122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist