Provider Demographics
NPI:1205018074
Name:FIENMAN, ARNOLD DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:DAVID
Last Name:FIENMAN
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 1:934 ANN DRIVE
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6175
Mailing Address - Country:US
Mailing Address - Phone:215-364-8530
Mailing Address - Fax:215-942-2407
Practice Address - Street 1:934 ANN DRIVE
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6175
Practice Address - Country:US
Practice Address - Phone:215-364-8530
Practice Address - Fax:215-942-2407
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023656L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist