Provider Demographics
NPI:1801915434
Name:ARRINDELL, GARY N (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:N
Last Name:ARRINDELL
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 1:1835 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 222
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4600
Mailing Address - Country:US
Mailing Address - Phone:301-439-5445
Mailing Address - Fax:301-439-5430
Practice Address - Street 1:1835 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 222
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4600
Practice Address - Country:US
Practice Address - Phone:301-439-5445
Practice Address - Fax:301-439-5430
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice