Provider Demographics
NPI:1619418175
Name:ARNETT DENTAL
Entity Type:Organization
Organization Name:ARNETT DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-843-4918
Mailing Address - Street 1:101 RUNNING FOX LN
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627-8299
Mailing Address - Country:US
Mailing Address - Phone:770-843-4918
Mailing Address - Fax:
Practice Address - Street 1:101 RUNNING FOX LN
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-8299
Practice Address - Country:US
Practice Address - Phone:770-843-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8554261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental