Provider Demographics
NPI:1518977016
Name:ARNAUDIN, RICHARD ALLISON (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLISON
Last Name:ARNAUDIN
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 1:2105 CUTLER RDG
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2806
Mailing Address - Country:US
Mailing Address - Phone:757-481-0204
Mailing Address - Fax:
Practice Address - Street 1:1000 FIRST COLONIAL RD STE 104
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3000
Practice Address - Country:US
Practice Address - Phone:757-496-0993
Practice Address - Fax:757-496-8137
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA 62491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA54-16938365OtherTAX I.D.