Provider Demographics
NPI:1568664183
Name:ARNE', DAMON ROSS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:ROSS
Last Name:ARNE'
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 1:1604 PHYSICIANS DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7362
Mailing Address - Country:US
Mailing Address - Phone:910-762-1118
Mailing Address - Fax:910-762-2285
Practice Address - Street 1:1604 PHYSICIANS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7362
Practice Address - Country:US
Practice Address - Phone:910-762-1118
Practice Address - Fax:910-762-2285
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics