Provider Demographics
NPI:1720299845
Name:ARNOLD, GREGORY L (DMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:L
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 NEW LITCHFIELD ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6017
Mailing Address - Country:US
Mailing Address - Phone:860-489-7701
Mailing Address - Fax:860-496-8556
Practice Address - Street 1:1185 NEW LITCHFIELD ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6017
Practice Address - Country:US
Practice Address - Phone:860-489-7701
Practice Address - Fax:860-496-8556
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0057711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice