Provider Demographics
NPI:1326047275
Name:ARNT, KENNETH W (DDS)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:W
Last Name:ARNT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E GREEN ST
Mailing Address - Street 2:PO BOX 17
Mailing Address - City:BUTLER
Mailing Address - State:IN
Mailing Address - Zip Code:46721-1126
Mailing Address - Country:US
Mailing Address - Phone:260-868-2221
Mailing Address - Fax:260-868-2485
Practice Address - Street 1:106 E GREEN ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:IN
Practice Address - Zip Code:46721-1126
Practice Address - Country:US
Practice Address - Phone:260-868-2221
Practice Address - Fax:260-868-2485
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
IN12009340122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist