Provider Demographics
NPI:1639150162
Name:SLONE, ARNOLD D (DMD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:D
Last Name:SLONE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11089 CLAY DR
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-7473
Mailing Address - Country:US
Mailing Address - Phone:859-485-7070
Mailing Address - Fax:859-485-2551
Practice Address - Street 1:11089 CLAY DR
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-7473
Practice Address - Country:US
Practice Address - Phone:859-485-7070
Practice Address - Fax:859-485-2551
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY77191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS7327009OtherDEA