Provider Demographics
NPI:1770632366
Name:SCONION, ARNOLD II (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:SCONION
Suffix:II
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 1:10305 MEDLOCK BRIDGE RD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5996
Mailing Address - Country:US
Mailing Address - Phone:770-418-4939
Mailing Address - Fax:770-418-9394
Practice Address - Street 1:10305 MEDLOCK BRIDGE RD
Practice Address - Street 2:SUITE B3
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-5996
Practice Address - Country:US
Practice Address - Phone:770-418-4939
Practice Address - Fax:770-418-9394
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0272311223G0001X
GA13688122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019-027231OtherLICENSE