Provider Demographics
NPI:1639269632
Name:ARNOLD, DAVID W (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:ARNOLD
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 1:2012 N 117TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3605
Mailing Address - Country:US
Mailing Address - Phone:402-496-4688
Mailing Address - Fax:402-715-5855
Practice Address - Street 1:2012 N 117TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3605
Practice Address - Country:US
Practice Address - Phone:402-496-4688
Practice Address - Fax:402-715-5855
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE52091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice