Provider Demographics
NPI:1376698449
Name:ARNOLD, JAMES FRED III (DMD FAACP)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRED
Last Name:ARNOLD
Suffix:III
Gender:M
Credentials:DMD FAACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 PERIMETER DRIVE
Mailing Address - Street 2:STE #200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517
Mailing Address - Country:US
Mailing Address - Phone:859-269-1000
Mailing Address - Fax:859-266-1445
Practice Address - Street 1:699 PERIMETER DRIVE
Practice Address - Street 2:STE #200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517
Practice Address - Country:US
Practice Address - Phone:859-269-1000
Practice Address - Fax:859-266-1445
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY703122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist