Provider Demographics
NPI:1760493498
Name:SMILES BY ARNOLD & ASSOCIATES
Entity Type:Organization
Organization Name:SMILES BY ARNOLD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:219-531-8914
Mailing Address - Street 1:951 SOUTHPOINT CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-6265
Mailing Address - Country:US
Mailing Address - Phone:219-531-8914
Mailing Address - Fax:219-531-7576
Practice Address - Street 1:951 SOUTHPOINT CIR
Practice Address - Street 2:SUITE A
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-6265
Practice Address - Country:US
Practice Address - Phone:219-531-8914
Practice Address - Fax:219-531-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009842A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12009842AOtherLICENSE