Provider Demographics
NPI:1558420349
Name:NOOT, ARNOUD (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOUD
Middle Name:
Last Name:NOOT
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 1:1390 W STATE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-4080
Mailing Address - Country:US
Mailing Address - Phone:801-796-7740
Mailing Address - Fax:801-796-7741
Practice Address - Street 1:1390 W STATE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4080
Practice Address - Country:US
Practice Address - Phone:801-796-7740
Practice Address - Fax:801-796-7741
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT96313143991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice