Provider Demographics
NPI:1720180128
Name:ARNOLD, GENE R (DDS)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:R
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 1:202 NO GREENVILLE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081
Mailing Address - Country:US
Mailing Address - Phone:972-235-8655
Mailing Address - Fax:972-235-8125
Practice Address - Street 1:202 NO GREENVILLE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081
Practice Address - Country:US
Practice Address - Phone:972-235-8655
Practice Address - Fax:972-235-8125
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist